Individual
ILESE OMINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHC
Contact information
Practice address
2 STATIONMASTER ST SE APT 303, LEESBURG, VA 20175-3647
(571) 355-5144
Mailing address
2 STATIONMASTER ST SE APT 303, LEESBURG, VA 20175-3647
(571) 355-5144
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000979
VA
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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