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1053933549
DALE PICKETT
BROADWAY, VA
NPI
1053933549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: VA 0704011496)
Enumeration Date
2020-05-07
Last Update Date
2020-05-07
Business Address
MR. DALE PICKETT MS, NCC
333 WINDERMERE DR
BROADWAY, VA 22815-9489
Phone number: 540-333-4728
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Mailing Address
MR. DALE PICKETT MS, NCC
1855 E LEE HWY
NEW MARKET, VA 22844-3221
Phone number: 540-333-4728
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