Individual
DR. RALSTON JOSEPH MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
8348 TRAFORD LN, SUITE 102, SPRINGFIELD, VA 22152-1663
(703) 569-8731
Mailing address
9229 ASHLAND WOODS LN, APT. A2, LORTON, VA 22079-1837
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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