Individual
LAURA KRISTEN MLYNARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10560 MAIN ST, FAIRFAX, VA 22030-7182
(202) 681-8436
Mailing address
13506 COPPER BED RD, HERNDON, VA 20171-3527
(860) 912-7304
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006116
VA
Other
Enumeration date
08/18/2009
Last updated
09/08/2019
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