Individual
MARY MARTHA SAYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
10375 DEMOCRACY LN STE B, FAIRFAX, VA 22030-2554
(703) 383-0673
Mailing address
10375 DEMOCRACY LN STE B, FAIRFAX, VA 22030-2554
(703) 383-0673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003432
VA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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