Individual
MS. MARGARET MARY DIVINCENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
13890 BRADDOCK RD, SUITE 312, CENTREVILLE, VA 20121-2435
(703) 502-9112
(703) 815-5663
Mailing address
13890 BRADDOCK RD, SUITE 312, CENTREVILLE, VA 20121-2435
(703) 502-9112
(703) 815-5663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001917
VA
106H00000X
Marriage & Family Therapist
0717000895
VA
Other
Enumeration date
08/25/2006
Last updated
07/31/2007
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