Most Relevant Information
Provider Data
| NPI Number: | 1003385311 |
| Provider Name: | REBECCA LYNNE MIGLIACCIO |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 111245 |
Most Important Dates
| Enumeration Date: | 11/15/2018 |
| Last Updated: | 11/15/2018 |
Provider Practice Location
11312 HEARTLEAF PL
MOSELEY
VA
231201577
Practice Location Phone/Fax
| Phone: | 6179666187 |
| Fax: |
Provider Mailing Location
11312 HEARTLEAF PL
MOSELEY
VA
231201577
Provider Mailing Phone/Fax
| Phone: | 6179666187 |
| Fax: |