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1649803594
MALCOLM IAN BERNARD
FREDERICKSBURG, VA
NPI
1649803594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701008236)
Enumeration Date
2020-02-19
Last Update Date
2023-10-30
Business Address
Mr. MALCOLM IAN BERNARD LPC
1320 CENTRAL PARK BLVD STE 200
FREDERICKSBURG, VA 22401-4953
Phone number: 540-709-1778
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Mailing Address
Mr. MALCOLM IAN BERNARD LPC
800 BATTERY AVE SE STE 100
ATLANTA, GA 30339-5107
Phone number: 540-709-1778
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