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1730889635
SHIRLEY DEROSA
RESTON, VA
NPI
1730889635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: VA 0701012114)
Enumeration Date
2023-03-08
Last Update Date
2023-04-26
Business Address
SHIRLEY DEROSA LPC
11921 FREEDOM DR STE 550
RESTON, VA 20190-5635
Phone number: 703-826-1353
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Mailing Address
SHIRLEY DEROSA LPC
3043 BRONZEGATE CT
HERNDON, VA 20171-1532
Phone number:
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