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1164071379
SHANE DAVIS
FREDERICKSBURG, VA
NPI
1164071379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701008416)
Enumeration Date
2019-09-10
Last Update Date
2019-10-03
Business Address
SHANE DAVIS
4532 PLANK RD
FREDERICKSBURG, VA 22407-0139
Phone number: 804-230-0999
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Mailing Address
SHANE DAVIS
4532 PLANK RD
FREDERICKSBURG, VA 22407-0139
Phone number: 301-789-9458
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