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1467273771
GRANT AMOATENG
FAIRFAX, VA
NPI
1467273771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0704017478)
Enumeration Date
2024-10-19
Last Update Date
2024-10-19
Business Address
GRANT AMOATENG
10301 DEMOCRACY LN STE 302
FAIRFAX, VA 22030-2545
Phone number: 571-223-7588
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Mailing Address
GRANT AMOATENG
10855 CLARA BARTON DR
BRISTOW, VA 20136-1349
Phone number: 571-420-6373
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