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1063537595
MARY LOU FAHEY
MANASSAS, VA
NPI
1063537595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904004560)
Enumeration Date
2007-03-21
Last Update Date
2008-01-17
Business Address
-- MARY LOU FAHEY LCSW
7969 ASHTON AVE
MANASSAS, VA 20109-2885
Phone number: 703-792-7800
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Mailing Address
-- MARY LOU FAHEY LCSW
7969 ASHTON AVE
MANASSAS, VA 20109-2885
Phone number: 703-792-7800
Copy
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