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1831825421
LISA DAVIS GORE
FAIRFAX, VA
NPI
1831825421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: VA 0904003629)
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
LISA DAVIS GORE LCSW
3913 MADISON MEWS
FAIRFAX, VA 22030-2597
Phone number: 703-966-9492
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Mailing Address
LISA DAVIS GORE LCSW
3913 MADISON MEWS
FAIRFAX, VA 22030-2597
Phone number: 703-966-9492
Copy
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