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1245345750
MEG WALLACE
HERNDON, VA
NPI
1245345750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 1808)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
-- MEG WALLACE LPC
297 HERNDON PKWY SUITE 201
HERNDON, VA 20170-4474
Phone number: 703-435-4325
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Mailing Address
-- MEG WALLACE LPC
12807 KETTERING DR
HERNDON, VA 20171-2446
Phone number: 703-435-4325
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