Individual
ELIZABETH ANN BRAY-MALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26148 LANDS END DR, CHANTILLY, VA 20152-2548
(571) 359-3127
Mailing address
26148 LANDS END DR, CHANTILLY, VA 20152-2548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906014563
VA
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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