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1336867589
NICOLE LY
ALEXANDRIA, VA
NPI
1336867589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904014029)
Enumeration Date
2022-08-15
Last Update Date
2022-08-15
Business Address
NICOLE LY
1533 N VAN DORN ST
ALEXANDRIA, VA 22304-1922
Phone number: 703-946-6307
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Mailing Address
NICOLE LY
1533 N VAN DORN ST
ALEXANDRIA, VA 22304-1922
Phone number: 703-946-6307
Copy
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