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1528776101
KELLAN WRIGHT
RESTON, VA
NPI
1528776101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904014534)
Enumeration Date
2022-11-11
Last Update Date
2024-12-07
Business Address
KELLAN WRIGHT
12020 SUNRISE VALLEY DR STE 100
RESTON, VA 20191-3429
Phone number: 646-941-7645
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Mailing Address
KELLAN WRIGHT
931 N AUGUSTA ST APT 3
STAUNTON, VA 24401-3293
Phone number:
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