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1750692307
GAIL LESLIE GRANDELA
FAIRFAX, VA
NPI
1750692307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701003293)
Enumeration Date
2010-06-29
Last Update Date
2013-11-20
Business Address
Mrs. GAIL LESLIE GRANDELA LPC, CCM
3020 JAVIER RD
FAIRFAX, VA 22031-4609
Phone number: 757-748-7620
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Mailing Address
Mrs. GAIL LESLIE GRANDELA LPC, CCM
30 MORNINGMIST DR
FREDERICKSBURG, VA 22406-7275
Phone number: 757-748-7620
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