Individual
PAMELA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8229 STATIONHOUSE CT, LORTON, VA 22079-1208
(703) 624-2784
Mailing address
8229 STATIONHOUSE CT, LORTON, VA 22079-1208
(703) 624-2784
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904010400
VA
Other
Enumeration date
03/03/2018
Last updated
03/03/2018
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