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Individual

XENIA SCULLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
327 POWDER HORN DR, RUTHER GLEN, VA 22546-5064
(240) 818-5957
Mailing address
327 POWDER HORN DR, RUTHER GLEN, VA 22546-5064
(240) 818-5957

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary

Other

Enumeration date
10/25/2020
Last updated
10/25/2020
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