Individual
BRENDA DENISE MEDLIN BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
67 W LEE ST UNIT 202, WARRENTON, VA 20186-3256
(703) 963-3880
Mailing address
67 W LEE ST UNIT 202, WARRENTON, VA 20186-3256
(703) 963-3880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007908
VA
Other
Enumeration date
09/24/2012
Last updated
12/17/2024
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