Individual
MRS. MALVOLIA LA FRANCES GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC (IN TRAINING)
Contact information
Practice address
11230 WAPLES MILL RD, SUITE 105, FAIRFAX, VA 22030-6087
(703) 208-1500
(703) 208-1540
Mailing address
11230 WAPLES MILL RD, SUITE 105, FAIRFAX, VA 22030-6087
(703) 208-1500
(703) 208-1540
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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