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1104450105
NORTHERN LIGHTS PSYCHOTHERAPY
LEESBURG, VA
NPI
1104450105
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Entity Type
Organization
Authorized Contact
SOFIA A GRAHAM
Clinical Psychologist/Owner
571-477-1613
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2020-02-27
Last Update Date
2020-02-27
Business Address
NORTHERN LIGHTS PSYCHOTHERAPY
222 CATOCTIN CIR SE STE 126
LEESBURG, VA 20175-3730
Phone number: 571-477-1613
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Mailing Address
NORTHERN LIGHTS PSYCHOTHERAPY
24400 MOON GLADE CT
ALDIE, VA 20105-3148
Phone number: 571-379-6668
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