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1972172278
MADALYN HUMPHREYS
FAIRFAX, VA
NPI
1972172278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701010088)
Enumeration Date
2021-06-21
Last Update Date
2021-06-21
Business Address
MADALYN HUMPHREYS MA, CSOTP, LPC
10623 JONES ST STE 301A
FAIRFAX, VA 22030-7512
Phone number: 703-267-5703
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Mailing Address
MADALYN HUMPHREYS MA, CSOTP, LPC
4800 28TH ST S APT H
ARLINGTON, VA 22206-1300
Phone number:
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