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Individual

SUSANNE GWYNN OSHRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
5205 LYNGATE CT STE A, BURKE, VA 22015-1693
(571) 233-2135
Mailing address
5205-A LYNGATE COURT, BURKE, VA 22015-2428
(571) 233-2135

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0701003063
VA

Other

Enumeration date
09/28/2006
Last updated
01/27/2012
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