Individual
LAUREN D MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1483 CHAIN BRIDGE RD STE 301, MC LEAN, VA 22101-5703
(571) 766-8123
Mailing address
7421 SHREVE RD, FALLS CHURCH, VA 22043-3206
(703) 677-7577
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701006858
VA
Other
Enumeration date
11/05/2017
Last updated
03/17/2018
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