Individual
KESHA GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
701 W BROAD ST, SUITE 305, FALLS CHURCH, VA 22046-3220
(703) 533-3302
(703) 237-2083
Mailing address
701 W BROAD STREET, SUITE 305, FALLS CHURCH, VA 22046
(703) 533-3302
(703) 237-2083
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003765
VA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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