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1053375899
CARLSON MCCOY PENDLETON
HAMPTON, VA
NPI
1053375899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0904001601)
Enumeration Date
2006-04-17
Last Update Date
2007-07-08
Business Address
Mr. CARLSON MCCOY PENDLETON lcsw
100 EMANCIPATION DR
HAMPTON, VA 23667-0001
Phone number: 757-722-9961
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Mailing Address
Mr. CARLSON MCCOY PENDLETON lcsw
122 TAYLOR AVE E
HAMPTON, VA 23663-1614
Phone number: 757-722-6900
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