Individual
MRS. GALE OTELLO CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
12644 CHAPEL RD, SUITE 112, CLIFTON, VA 20124-1706
(703) 803-3294
(703) 803-0164
Mailing address
12644 CHAPEL RD., SUITE 112, CLIFTON, VA 20124
(703) 803-3294
(703) 803-0164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1345
VA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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