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1407128044
JOHN HUNTER SPENCER
BRISTOW, VA
NPI
1407128044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0711000120)
Enumeration Date
2012-01-27
Last Update Date
2012-01-27
Business Address
-- JOHN HUNTER SPENCER CSACA
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136-2180
Phone number: 703-396-7326
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Mailing Address
-- JOHN HUNTER SPENCER CSACA
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136-2180
Phone number: 703-396-7326
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