Individual
ANNA TUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 BRADDOCK PL, ALEXANDRIA, VA 22314-1693
(703) 619-8387
Mailing address
1340 BRADDOCK PL, ALEXANDRIA, VA 22314-1693
(703) 619-8387
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000253
VA
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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