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1902093735
SUSAN J WALLEY
FREDERICKSBURG, VA
NPI
1902093735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904007037)
Enumeration Date
2007-09-25
Last Update Date
2012-01-04
Business Address
-- SUSAN J WALLEY
5828 DEEP CREEK DR
FREDERICKSBURG, VA 22407-9221
Phone number: 540-621-5674
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Mailing Address
-- SUSAN J WALLEY
5828 DEEP CREEK DR
FREDERICKSBURG, VA 22407-9221
Phone number: 540-621-5674
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