Individual
VICTORIA GRACE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, R-DMT
Contact information
Practice address
2431 PRINCE ANDREW CT, QUINTON, VA 23141-1388
(804) 335-5881
Mailing address
3330 BOURBON ST STE 112, FREDERICKSBURG, VA 22408-7333
(540) 416-2850
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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