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1215221114
MICHAEL NELSEN
STERLING, VA
NPI
1215221114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710102536)
Enumeration Date
2011-06-08
Last Update Date
2011-06-08
Business Address
-- MICHAEL NELSEN
45546 READING TER
STERLING, VA 20166-3052
Phone number: 703-943-9500
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Mailing Address
-- MICHAEL NELSEN
45546 READING TER
STERLING, VA 20166-3052
Phone number:
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