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1730608985
KIMBERLY VAN LANEN
FAIRFAX, VA
NPI
1730608985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701006623)
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
KIMBERLY VAN LANEN
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031-4512
Phone number: 703-383-8427
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Mailing Address
KIMBERLY VAN LANEN
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031-4512
Phone number:
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