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1710503362
DANIEL LAVELLE
VIENNA, VA
NPI
1710503362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701012726)
Enumeration Date
2020-06-19
Last Update Date
2024-05-20
Business Address
DANIEL LAVELLE
501 CHURCH ST NE STE 212
VIENNA, VA 22180-4734
Phone number: 571-358-9765
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Mailing Address
DANIEL LAVELLE
11730 INDIAN RIDGE RD
RESTON, VA 20191-3522
Phone number: 571-230-4205
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