DOMENICA KATHLEEN FAVERO

LYNCHBURG, VA
NPI1588836944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: VA  0810003442)
Enumeration Date2008-03-26
Last Update Date2008-03-26
Business Address
-- DOMENICA KATHLEEN FAVERO
1900 THOMSON DR
LYNCHBURG, VA 24501-1009
Phone number: 434-947-2890
Mailing Address
-- DOMENICA KATHLEEN FAVERO
PO BOX 11768
LYNCHBURG, VA 24506-1768
Phone number: 434-947-8290
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