Individual
DEBBIE DESPINA BOUDOUVAS-MANNOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
131 PARK ST NE, 3RD FLOOR, SUITE B, VIENNA, VA 22180-4641
(703) 594-1479
Mailing address
131 PARK ST NE, 3RD FLOOR, SUITE B, VIENNA, VA 22180-4641
(703) 594-1479
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006703
VA
Other
Enumeration date
12/08/2008
Last updated
12/17/2013
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