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Individual

ELLEN BRIGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATR-BC

Contact information

Practice address
11230 WAPLES MILL RD STE 100, FAIRFAX, VA 22030-6087
(703) 309-4363
Mailing address
14464 GLENCREST CIR, CENTREVILLE, VA 20120-4131
(703) 309-4363

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
18-076
VA

Other

Enumeration date
09/20/2018
Last updated
09/20/2018
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