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1659003622
DANIETTA CHARLES
FAIRFAX, VA
NPI
1659003622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701011580)
Enumeration Date
2022-06-28
Last Update Date
2022-06-28
Business Address
DANIETTA CHARLES LPC
9677 MAIN ST
FAIRFAX, VA 22031-3763
Phone number: 301-767-1733
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Mailing Address
DANIETTA CHARLES LPC
8209 PERIDOT DR UNIT 306
TYSONS CORNER, VA 22102-3968
Phone number: 315-399-6318
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