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Individual

KELLY MURPHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
8500 EXECUTIVE PARK AVE, FAIRFAX, VA 22031-2225
(703) 876-8480
Mailing address
4208 4TH ST S, ARLINGTON, VA 22204-1402

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004765
VA

Other

Enumeration date
05/09/2012
Last updated
01/26/2015
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