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1912639626
VINCENT DAVENA
MC LEAN, VA
NPI
1912639626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: VA 0704014494)
Enumeration Date
2022-06-30
Last Update Date
2022-06-30
Business Address
VINCENT DAVENA M.A., NCC
6842 ELM ST
MC LEAN, VA 22101-3891
Phone number: 703-307-7860
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Mailing Address
VINCENT DAVENA M.A., NCC
1610 WOODMOOR LN
MC LEAN, VA 22101-5159
Phone number: 703-307-7860
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