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Individual

MARY ANN SPROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8440 OLD KEENE MILL RD, SPRINGFIELD, VA 22152-2302
(709) 569-1300
Mailing address
8440 OLD KEENE MILL RD, SPRINGFIELD, VA 22152-2302
(709) 569-1300

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904007003
VA

Other

Enumeration date
12/11/2008
Last updated
06/03/2021
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