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1982635108
BRENDA SUE KING
FAIRFAX, VA
NPI
1982635108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904005632)
Enumeration Date
2006-07-05
Last Update Date
2007-07-08
Business Address
Miss BRENDA SUE KING LCSW
5610 SANDY LEWIS DR STE A
FAIRFAX, VA 22032-4045
Phone number: 703-425-8269
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Mailing Address
Miss BRENDA SUE KING LCSW
RR 3 BOX 572
JONESVILLE, VA 24263-9605
Phone number: 276-346-4437
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