Individual
GRACE GREENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13600 FRYING PAN ROAD, HERNDON, VA 20171
(703) 371-8303
Mailing address
PO BOX 60, HERNDON, VA 20172
(703) 371-8303
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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