Individual
MELANIE CORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8140 ASHTON AVE, MANASSAS, VA 20109-5698
(703) 330-9933
Mailing address
PO BOX 709, LORTON, VA 22199-0709
(703) 957-8685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810-006068
VA
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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