Organization
AMANDA FIRESTONE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ABUBAKER (OFFICE MANAGER)
(804) 517-3354
Entity
Organization
Contact information
Practice address
2804 GRIFFIN AVE, RICHMOND, VA 23222-3629
(202) 256-1116
Mailing address
2804 GRIFFIN AVE, RICHMOND, VA 23222-3629
(202) 256-1116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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