Individual
DR. CARSON MCBRIDE RAWLES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
1771 PINE SHADOWS WAY APT 2811, WOODBRIDGE, VA 22192-6573
(571) 241-9847
Mailing address
1771 PINE SHADOWS WAY APT 2811, WOODBRIDGE, VA 22192-6573
(571) 241-9847
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0704008636
VA
Other
Enumeration date
07/25/2024
Last updated
07/27/2024
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