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1770024580
LAVALLE MCINNIS
CHESTER, VA
NPI
1770024580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: VA 0701007039)
Enumeration Date
2017-03-13
Last Update Date
2024-10-11
Business Address
LAVALLE MCINNIS
2663 OSBORNE RD
CHESTER, VA 23831-2168
Phone number: 804-882-3606
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Mailing Address
LAVALLE MCINNIS
1706 ANCHOR LANDING DR
CHESTER, VA 23836-5412
Phone number: 804-882-3605
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