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1346592359
BRENDA WYATT
FALLS CHURCH, VA
NPI
1346592359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: VA 710102183)
Enumeration Date
2012-10-15
Last Update Date
2012-10-15
Business Address
BRENDA WYATT CSAC
3300 GALLOWS RD CATS AT FFX HOSPTIAL
FALLS CHURCH, VA 22042-3307
Phone number: 703-289-7573
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Mailing Address
BRENDA WYATT CSAC
14489 WHISPERWOOD CT
DUMFRIES, VA 22025-1133
Phone number: 703-835-6360
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