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1902158124
JOSEPH P WILEY
FAIRFAX, VA
NPI
1902158124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710101643)
Enumeration Date
2012-10-11
Last Update Date
2012-10-11
Business Address
-- JOSEPH P WILEY CSAC
3020 JAVIER RD
FAIRFAX, VA 22031-4609
Phone number: 703-289-4985
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Mailing Address
-- JOSEPH P WILEY CSAC
6256 LES DORSON LN
ALEXANDRIA, VA 22315-3229
Phone number: 703-289-4985
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