Individual
ANDREW ROSS WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2680 OPITZ BLVD STE 220, WOODBRIDGE, VA 22192-6821
(703) 828-4052
Mailing address
4597 CLEARWATER CT, DUMFRIES, VA 22025-1422
(323) 445-3857
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017152
VA
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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