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1679899983
PATRICIA ANN SUPPES
FAIRFAX, VA
NPI
1679899983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: VA 0701004764)
Enumeration Date
2010-04-12
Last Update Date
2010-04-12
Business Address
-- PATRICIA ANN SUPPES
11204 WAPLES MILL RD
FAIRFAX, VA 22030-6036
Phone number: 703-218-8518
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Mailing Address
-- PATRICIA ANN SUPPES
405 TENNESSEE AVE
ALEXANDRIA, VA 22305-1329
Phone number:
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