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1346640372
KELLY DAVIS
LEESBURG, VA
NPI
1346640372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904008699)
Enumeration Date
2014-08-27
Last Update Date
2019-02-12
Business Address
KELLY DAVIS LCSW
42009 VICTORY LN
LEESBURG, VA 20176-6269
Phone number: 703-777-0800
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Mailing Address
KELLY DAVIS LCSW
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136-2180
Phone number: 703-636-5100
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