TANISHA S BRACEY

FAIRFAX, VA
NPI1912348343
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: VA  0810004822)
Enumeration Date2013-07-15
Last Update Date2014-05-07
Business Address
-- TANISHA S BRACEY
5403 CABOT RIDGE CT
FAIRFAX, VA 22032-3214
Phone number: 202-277-9687
Mailing Address
-- TANISHA S BRACEY
5403 CABOT RIDGE CT
FAIRFAX, VA 22032-3214
Phone number: 202-277-9687
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