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1073079927
KENNETH MARVIN SHIRLEY
NORTH CHESTERFIELD, VA
NPI
1073079927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 070100652)
Enumeration Date
2019-02-15
Last Update Date
2019-02-15
Business Address
Mr. KENNETH MARVIN SHIRLEY LPC
11114 LANTERN WAY
NORTH CHESTERFIELD, VA 23236-3575
Phone number: 804-814-2452
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Mailing Address
Mr. KENNETH MARVIN SHIRLEY LPC
11114 LANTERN WAY
NORTH CHESTERFIELD, VA 23236-3575
Phone number: 804-814-2452
Copy
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