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1841866886
BETHANY ELLIS
LEESBURG, VA
NPI
1841866886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-06-01
Last Update Date
2021-06-01
Business Address
BETHANY ELLIS
102 HERITAGE WAY NE STE 302
LEESBURG, VA 20176-4544
Phone number: 703-771-5100
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Mailing Address
BETHANY ELLIS
102 HERITAGE WAY STE 302 PO BOX 7400
LEESBURG, VA 20176
Phone number: 703-771-5100
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