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1093459307
DAN RUSSO
FALLS CHURCH, VA
NPI
1093459307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0704014718)
Enumeration Date
2022-04-22
Last Update Date
2022-11-06
Business Address
Mr. DAN RUSSO MA/MA
113 ROWELL CT
FALLS CHURCH, VA 22046-3126
Phone number: 202-630-1239
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Mailing Address
Mr. DAN RUSSO MA/MA
113 ROWELL CT
FALLS CHURCH, VA 22046-3126
Phone number: 202-630-1239
Copy
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