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1164293171
LIVEWELL BEHAVIORAL HEALTH
WOODBRIDGE, VA
NPI
1164293171
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Entity Type
Organization
Authorized Contact
TANISHA BRACEY
Owner/Clinical Psychologist
202-277-9687
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2024-01-10
Last Update Date
2024-01-10
Business Address
LIVEWELL BEHAVIORAL HEALTH
2135 ABBOTTSBURY WAY
WOODBRIDGE, VA 22191-4098
Phone number: 202-277-9687
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Mailing Address
LIVEWELL BEHAVIORAL HEALTH
15000 POTOMAC TOWN PL, SUITE 100 #506
WOODBRIDGE, VA 22191
Phone number:
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