Individual
ANNA AUSTIN WALTERS MINUTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1486 KINROSS LN, KESWICK, VA 22947-9109
(443) 418-0650
Mailing address
1486 KINROSS LN, KESWICK, VA 22947-9109
(443) 418-0650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017129
VA
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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