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Individual

LORRAINE LONGFELLOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
5205 LYNGATE CT, BURKE, VA 22015-1692
(703) 596-2094
Mailing address
4911 MAGDALENE CT, ANNANDALE, VA 22003-4363

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001259
VA

Other

Enumeration date
09/14/2013
Last updated
05/20/2016
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