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1043697832
LAKESIDE CENTER
YORKTOWN, VA
NPI
1043697832
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Entity Type
Organization
Authorized Contact
LINDA LEITCH-ALFORD
Owner
757-874-0468
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2015-04-30
Last Update Date
2015-04-30
Business Address
LAKESIDE CENTER
6515 GEORGE WASHINGTON MEM HWY # 101
YORKTOWN, VA 23692-2182
Phone number: 757-714-1838
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Mailing Address
LAKESIDE CENTER
PO BOX 13296
CHESAPEAKE, VA 23325-0296
Phone number: 757-714-1838
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