Individual
ADRIAN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(703) 924-8194
Mailing address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(703) 924-8194
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
349181
VA
1041S0200X
School Social Worker
PPS349181
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101625
—
VA
Enumeration date
04/04/2018
Last updated
04/04/2018
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