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1033378294
DEAVEN MCGUIRE WALLACE
LYNCHBURG, VA
NPI
1033378294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: VA 0701004377)
Enumeration Date
2008-06-03
Last Update Date
2008-06-03
Business Address
DEAVEN MCGUIRE WALLACE MA, LPC
21731 TIMBERLAKE RD
LYNCHBURG, VA 24502-7400
Phone number: 434-455-5033
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Mailing Address
DEAVEN MCGUIRE WALLACE MA, LPC
21731 TIMBERLAKE RD
LYNCHBURG, VA 24502-7400
Phone number: 434-455-5033
Copy
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