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Organization
PHOENIX FAMILY COUNSELING & PLAY THERAPY CENTER, PLLC
Active
Organization
PHOENIX FAMILY COUNSELING & PLAY THERAPY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CATHERINE SPOONER LCSW (DIRECTOR)
(703) 909-8963
Entity
Organization
Contact information
Practice address
7404 GALLERHER RD, SUITE 100, GAINESVILLE, VA 20155
(703) 909-8963
(703) 753-5193
Mailing address
4350 SNOW HILL DR., GAINESVILLE, VA 20155
(703) 909-8963
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003525
VA
Other
Enumeration date
11/24/2006
Last updated
08/22/2020
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