Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 0903003001 | VA |
N | 104100000X | Social Worker | LG50083080 | DC |
NPI | 1003402991 |
---|---|
Provider Name | Ana-Alicia Farrar Brown |
First Address | Woodbridge, VA 22191-4123 |
Second Address | Ashburn, VA 20147-5071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2020 |
Last Update Date | 15/12/2020 |