MARY GIENCKE

CHESAPEAKE, VA
NPI1588106801
Entity TypeOrganization
Authorized ContactMARY GIENCKE
Lpc
757-490-0377
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: VA  0701006852)
Enumeration Date2016-11-17
Last Update Date2016-12-07
Business Address
MARY GIENCKE
609 INDEPENDENCE PKWY SUITE 115
CHESAPEAKE, VA 23320-5209
Phone number: 757-490-0377
Mailing Address
MARY GIENCKE
609 INDEPENDENCE PKWY SUITE 115
CHESAPEAKE, VA 23320-5209
Phone number: 757-490-0377