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Individual

IRENE MIRANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
8010 OLD KEENE MILL RD, SPRINGFIELD, VA 22152-1948
(571) 276-3859
Mailing address
8010 OLD KEENE MILL RD, SPRINGFIELD, VA 22152-1948
(571) 276-3859

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006469
VA
101YP2500X
Professional Counselor
PRC14289
DC

Other

Enumeration date
01/14/2016
Last updated
01/14/2016
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