Individual
SOFIA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
222 CATOCTIN CIR SE STE 126, LEESBURG, VA 20175-3730
(714) 771-6135
Mailing address
24400 MOON GLADE CT, ALDIE, VA 20105-3148
(571) 379-6668
(703) 777-0170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005529
VA
Other
Enumeration date
09/22/2014
Last updated
03/05/2020
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