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1013393743
ANTHONY PENN
MIDLOTHIAN, VA
NPI
1013393743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701005736)
Enumeration Date
2015-08-04
Last Update Date
2016-12-22
Business Address
Mr. ANTHONY PENN LPC
2625 COLGRAVE RD
MIDLOTHIAN, VA 23112-3768
Phone number: 804-301-9219
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Mailing Address
Mr. ANTHONY PENN LPC
5408 CHAMBERLAYNE RD
RICHMOND, VA 23227-2407
Phone number: 804-272-2000
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