Individual
MS. ALLISON MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 PARK ST NE, VIENNA, VA 22180-4602
(703) 281-2657
Mailing address
133 PARK ST NE, VIENNA, VA 22180-4602
(703) 281-2657
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006749
VA
Other
Enumeration date
02/01/2013
Last updated
05/26/2021
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