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1790051779
JOHNNY S POWELL
FAIRFAX, VA
NPI
1790051779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0904007483)
Enumeration Date
2012-03-23
Last Update Date
2016-02-17
Business Address
Ms. JOHNNY S POWELL LCSW
10372 DEMOCRACY LN
FAIRFAX, VA 22030-2522
Phone number: 703-591-2551
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Mailing Address
Ms. JOHNNY S POWELL LCSW
10372 DEMOCRACY LN
FAIRFAX, VA 22030-2522
Phone number: 703-591-2551
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