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Individual

CHALLEN MARIE MABRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
290 S MAIN ST, SUITE 2, ROCKY MOUNT, VA 24151-1709
(540) 483-0312
Mailing address
647 OLD FORT RD, ROCKY MOUNT, VA 24151-2036
(540) 493-4480

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006195
VA

Other

Enumeration date
07/06/2015
Last updated
07/06/2015
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