Individual
GAYLE MARIE BREEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44790 MAYNARD SQUARE, SUITE 130, ASHBURN, VA 20147-6514
(703) 542-3737
(703) 584-7378
Mailing address
44790 MAYNARD SQ, ASHBURN, VA 20147-6513
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002134
VA
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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