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1497274534
DONALD LEWIS BOHANNON
FREDERICKSBURG, VA
NPI
1497274534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701007233)
Enumeration Date
2017-09-09
Last Update Date
2017-09-09
Business Address
Dr. DONALD LEWIS BOHANNON LPC
10712 BALLANTRAYE DR
FREDERICKSBURG, VA 22407-4702
Phone number: 928-628-8517
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Mailing Address
Dr. DONALD LEWIS BOHANNON LPC
47 BASALT DR
FREDERICKSBURG, VA 22406-7229
Phone number: 928-502-1926
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