Individual
KIMBERLY WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5244 LYNGATE CT # 200, BURKE, VA 22015-1631
(703) 910-2577
Mailing address
5244 LYNGATE CT # 200, BURKE, VA 22015-1631
(703) 910-2577
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006210
VA
Other
Enumeration date
11/19/2015
Last updated
06/15/2023
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