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1104363282
KELLY W. HEADLEY
LEESBURG, VA
NPI
1104363282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904008804)
Enumeration Date
2017-01-26
Last Update Date
2017-01-26
Business Address
-- KELLY W. HEADLEY LCSW
102 HERITAGE WAY NE STE 103
LEESBURG, VA 20176-4544
Phone number: 703-771-5379
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Mailing Address
-- KELLY W. HEADLEY LCSW
308 N LINCOLN AVE
STERLING, VA 20164-2526
Phone number: 571-217-0986
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