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1902578990
LAURA WAKEFIELD
FAIRFAX, VA
NPI
1902578990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701012276)
Enumeration Date
2021-09-29
Last Update Date
2023-10-25
Business Address
LAURA WAKEFIELD LPC
3930 WALNUT ST STE 250
FAIRFAX, VA 22030-4750
Phone number: 703-782-3710
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Mailing Address
LAURA WAKEFIELD LPC
11089 SAFFOLD WAY
RESTON, VA 20190-3815
Phone number: 919-410-0412
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