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1720856784
ALYSSA BRUNGOT
YORKTOWN, VA
NPI
1720856784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0704016218)
Enumeration Date
2023-12-19
Last Update Date
2023-12-19
Business Address
ALYSSA BRUNGOT
501 VILLAGE AVE STE 204
YORKTOWN, VA 23693-5657
Phone number: 757-568-5904
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Mailing Address
ALYSSA BRUNGOT
118 HAZELWOOD AVE
TOANO, VA 23168-9320
Phone number: 757-634-2215
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