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1578718987
KELLY ELAINE VANDIVERT
FREDERICKSBURG, VA
NPI
1578718987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701004449)
Enumeration Date
2008-11-26
Last Update Date
2024-06-19
Business Address
KELLY ELAINE VANDIVERT LPC
406 CHATHAM SQ PARK #102
FREDERICKSBURG, VA 22405-2585
Phone number: 703-819-7538
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Mailing Address
KELLY ELAINE VANDIVERT LPC
186 BOULDER SPRINGS LN
LOUISA, VA 23093-6229
Phone number: 540-779-4334
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