AMANDA BALES LONG

RESTON, VA
NPI1760976633
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904010519)
Enumeration Date2018-06-14
Last Update Date2018-06-14
Business Address
AMANDA BALES LONG LCSW
1800 MICHAEL FARADAY DR STE 206
RESTON, VA 20190-5312
Phone number: 703-935-0058
Mailing Address
AMANDA BALES LONG LCSW
3483 LYON PARK CT
WOODBRIDGE, VA 22192-1022
Phone number:
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