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1053886937
MELANIE CORUM
MANASSAS, VA
NPI
1053886937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810-006068)
Enumeration Date
2018-10-08
Last Update Date
2018-10-08
Business Address
MELANIE CORUM
8140 ASHTON AVE
MANASSAS, VA 20109-5698
Phone number: 703-330-9933
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Mailing Address
MELANIE CORUM
PO BOX 709
LORTON, VA 22199-0709
Phone number: 703-957-8685
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