Individual
MARY ROGERS KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
21001 SYCOLIN RD # SUIE360, ASHBURN, VA 20147-4073
(703) 858-7838
Mailing address
12033 FORBES GLEN DR, HERNDON, VA 20170-2705
(571) 286-1713
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701004347
VA
Other
Enumeration date
04/09/2009
Last updated
01/19/2023
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