Ebony Nicole Calloway, LICSW Valid NPI

Individual provider · Clinical Social Worker · Dumfries, VA

NPI

1467987974

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

0904010339 (VA)

Sex

Female

Sole proprietor

Yes

Enumerated

2017-04-22

Last updated

2024-03-14