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1427309111
AMY BANNER
CHARLOTTESVILLE, VA
NPI
1427309111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: VA 0701005326)
Enumeration Date
2012-09-21
Last Update Date
2012-09-21
Business Address
-- AMY BANNER LPC
800 PRESTON AVE
CHARLOTTESVILLE, VA 22903-4420
Phone number: 434-972-1758
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Mailing Address
-- AMY BANNER LPC
800 PRESTON AVE
CHARLOTTESVILLE, VA 22903-4420
Phone number: 434-972-1758
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