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1114521226
SAMANTHA STEVENS
WOODBRIDGE, VA
NPI
1114521226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701010045)
Enumeration Date
2020-11-30
Last Update Date
2021-05-24
Business Address
SAMANTHA STEVENS LPC
3258 GOLANSKY BOULEVARD SUITE 201
WOODBRIDGE, VA 22192-3253
Phone number: 571-535-4706
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Mailing Address
SAMANTHA STEVENS LPC
PO BOX 5396
WOODBRIDGE, VA 22194-5396
Phone number:
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