Individual
GEORGINA PENNELL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 PRINCE WILLIAM PKWY STE 301, WOODBRIDGE, VA 22192-7667
(703) 688-8541
Mailing address
12954 BUCK BOARD CT, WOODBRIDGE, VA 22192-6433
(571) 544-0666
(571) 544-0666
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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