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1952185654
TIMOTHY MICHAEL BAMBARA
WINCHESTER, VA
NPI
1952185654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: VA 0719000028)
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
TIMOTHY MICHAEL BAMBARA RESIDENT COUNSELING
31 S BRADDOCK ST
WINCHESTER, VA 22601-4160
Phone number: 554-535-1111
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Mailing Address
TIMOTHY MICHAEL BAMBARA RESIDENT COUNSELING
31 S BRADDOCK ST
WINCHESTER, VA 22601-4160
Phone number: 554-535-1111
Copy
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