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Individual

DIANE MCKENDRY SALKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, MBA

Contact information

Practice address
6802 SETON CT, SPRINGFIELD, VA 22152-3050
(858) 442-6648
Mailing address
6802 SETON CT, SPRINGFIELD, VA 22152-3050
(858) 442-6648

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
104819
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
02/23/2022
Last updated
02/23/2022
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