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1023199973
KELLY BAUER
FAIRFAX, VA
NPI
1023199973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 701003859)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
-- KELLY BAUER LPC
11200 WAPLES MILL RD SUITE 180
FAIRFAX, VA 22030-7407
Phone number: 703-383-8333
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Mailing Address
-- KELLY BAUER LPC
2099 N COLLINS BLVD SUITE 100
RICHARDSON, TX 75080-2698
Phone number: 972-437-4698
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