Individual
DR. MARINELL MILLER MUMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
100 EMANCIPATION DR, PCT-116A, HAMPTON, VA 23667-0001
(757) 722-9961
(757) 726-6025
Mailing address
100 EMANCIPATION DR, PCT-116A, HAMPTON, VA 23667-0001
(757) 722-9961
(757) 726-6025
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY4919
FL
Other
Enumeration date
06/20/2006
Last updated
04/11/2008
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