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1538174107
VIRGINIA L REVERE
ALEXANDRIA, VA
NPI
1538174107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0810000939)
Enumeration Date
2006-07-30
Last Update Date
2011-10-07
Business Address
Dr. VIRGINIA L REVERE Ph.D.
9012 LINTON LN
ALEXANDRIA, VA 22308-2733
Phone number: 703-780-4872
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Mailing Address
Dr. VIRGINIA L REVERE Ph.D.
9012 LINTON LN
ALEXANDRIA, VA 22308-2733
Phone number: 703-780-4872
Copy
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