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1881724367
CORLISS GILLESPIE
WOODBRIDGE, VA
NPI
1881724367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: GA LPC004645)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-03-06
Last Update Date
2018-09-27
Business Address
MISS CORLISS GILLESPIE LPC
12531 CLIPPER DR
WOODBRIDGE, VA 22192-2355
Phone number: 571-402-2509
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Mailing Address
MISS CORLISS GILLESPIE LPC
PO BOX 4090
WOODBRIDGE, VA 22194-4090
Phone number: 678-640-3947
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