Ricky Yates, MSW

NPI #1720562481 in Chantilly, Virginia

Provider Information

NPI Number: 1720562481
Entity Type: Individual
Name: Ricky Yates, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW
Enumeration Date: Sep 19, 2018
Last Updated: Sep 19, 2018

Practice Location

Address: 14160 NEWBROOK DR
City: Chantilly
State: Virginia
ZIP Code: 20151-2297
Phone: (724) 780-5124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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