Individual
MARY GRANT DEMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
281 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23462-2986
(757) 490-0377
(757) 497-1327
Mailing address
780 LARGO DR, VIRGINIA BEACH, VA 23464-2418
(757) 424-0562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001221
VA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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