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1164858817
KELLY MANYA
FAIRFAX STATION, VA
NPI
1164858817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904004334)
Enumeration Date
2013-09-25
Last Update Date
2013-09-25
Business Address
-- KELLY MANYA LCSW
8455 HAMPTON WAY
FAIRFAX STATION, VA 22039-2738
Phone number: 703-919-1666
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Mailing Address
-- KELLY MANYA LCSW
8455 HAMPTON WAY
FAIRFAX STATION, VA 22039
Phone number: 703-919-1666
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