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1629469119
RENUGA BHALLA
GAINESVILLE, VA
NPI
1629469119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904008835)
Enumeration Date
2015-02-05
Last Update Date
2015-02-05
Business Address
-- RENUGA BHALLA LCSW
7520 GARDNER PARK DR
GAINESVILLE, VA 20155-3414
Phone number: 571-248-2358
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Mailing Address
-- RENUGA BHALLA LCSW
9006 HOME GUARD DR
BURKE, VA 22015-2121
Phone number: 703-362-1737
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