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1659804797
LUZ AMALYA GONZALEZ
FREDERICKSBURG, VA
NPI
1659804797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710102137)
Enumeration Date
2017-04-05
Last Update Date
2017-04-05
Business Address
-- LUZ AMALYA GONZALEZ CSAC, Resident in Co
120 FALCON DR SUITE 6
FREDERICKSBURG, VA 22408-1900
Phone number: 540-479-2064
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Mailing Address
-- LUZ AMALYA GONZALEZ CSAC, Resident in Co
PO BOX 42178
FREDERICKSBURG, VA 22404-2178
Phone number: 540-479-2064
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