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1013606326
MINDFUL LEGACY LLC
FAIRFAX, VA
NPI
1013606326
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Entity Type
Organization
Authorized Contact
SHEKILA S MELCHIOR
Licensed Professional Counselor
336-301-9765
Organization Subpart ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2023-05-02
Last Update Date
2023-12-11
Business Address
MINDFUL LEGACY LLC
4229 JEFFERSON OAKS CIR APT B
FAIRFAX, VA 22033-4071
Phone number: 703-718-6413
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Mailing Address
MINDFUL LEGACY LLC
12587 FAIR LAKES CIR # 406
FAIRFAX, VA 22033-3822
Phone number: 336-301-9765
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