Individual
MRS. GWENDOLYN ROSE MBUVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
15 RESEARCH DR STE A, HAMPTON, VA 23666-1324
(757) 315-8039
Mailing address
5007C VICTORY BLVD # 330, YORKTOWN, VA 23693-5601
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001725
VA
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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