Individual
JOANNE K MUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8348 TRAFORD LN STE 201, SPRINGFIELD, VA 22152-1650
(703) 569-5109
Mailing address
7305 JENNA RD, SPRINGFIELD, VA 22153-1346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904001229
VA
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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