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1982181541
DENIS IBARRA
WINCHESTER, VA
NPI
1982181541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: VA 0710103318)
Enumeration Date
2018-07-25
Last Update Date
2018-07-25
Business Address
DENIS IBARRA
500 PEGASUS CT
WINCHESTER, VA 22602-4596
Phone number: 540-313-4196
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Mailing Address
DENIS IBARRA
55 BEATTIE PL STE 810
GREENVILLE, SC 29601-2191
Phone number: 864-527-3145
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