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1003803453
KENNETH L LABASKY
PORTSMOUTH, VA
NPI
1003803453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904000814)
Enumeration Date
2005-09-30
Last Update Date
2007-07-08
Business Address
-- KENNETH L LABASKY LCSW
3300 ACADEMY AVE
PORTSMOUTH, VA 23703-3205
Phone number: 757-483-6404
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Mailing Address
-- KENNETH L LABASKY LCSW
3300 ACADEMY AVE
PORTSMOUTH, VA 23703-3205
Phone number: 757-483-6404
Copy
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