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1386234391
IDA JO KORNEGAY DOWNEY
MIDLOTHIAN, VA
NPI
1386234391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701008258)
Enumeration Date
2021-01-23
Last Update Date
2021-01-23
Business Address
IDA JO KORNEGAY DOWNEY LPC
2624 BAYFRONT WAY
MIDLOTHIAN, VA 23112-4550
Phone number: 412-716-4056
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Mailing Address
IDA JO KORNEGAY DOWNEY LPC
2624 BAYFRONT WAY
MIDLOTHIAN, VA 23112-4550
Phone number: 412-716-4056
Copy
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