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Individual

MRS. MARY JAY MICHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., L.M.F.T.

Contact information

Practice address
8101 HINSON FARM RD, SUITE 117, ALEXANDRIA, VA 22306-3403
(703) 606-7759
Mailing address
1109 GATEWOOD DR, ALEXANDRIA, VA 22307-2028
(703) 373-3444

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001148
VA

Other

Enumeration date
03/17/2008
Last updated
03/17/2008
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