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1174771216
ANDREA J. FATA
FAIRFAX, VA
NPI
1174771216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701003020)
Enumeration Date
2008-09-03
Last Update Date
2010-08-04
Business Address
Ms. ANDREA J. FATA LPC
9506B LEE HWY
FAIRFAX, VA 22031-2303
Phone number: 703-343-6611
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Mailing Address
Ms. ANDREA J. FATA LPC
4560 STRUTFIELD LN #1110
ALEXANDRIA, VA 22311-4964
Phone number: 703-343-6611
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