Individual
ILONA NORA GRAVERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
8700 CENTREVILLE RD, STE 410, MANASSAS, VA 20110-8430
(703) 303-2855
(703) 464-0452
Mailing address
PO BOX 710336, OAK HILL, VA 20171-0336
(703) 303-2855
(703) 464-0452
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810002941
VA
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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