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1063502060
LUCIANNE W WARREN
SUFFOLK, VA
NPI
1063502060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 082-03-002)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
-- LUCIANNE W WARREN LCSW
5268 GODWIN BLVD
SUFFOLK, VA 23434-8135
Phone number: 757-255-7117
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Mailing Address
-- LUCIANNE W WARREN LCSW
5268 GODWIN BLVD
SUFFOLK, VA 23434-8135
Phone number: 757-255-7117
Copy
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