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1073677233
PHILLIP GENTRY CALDWELL
ALEXANDRIA, VA
NPI
1073677233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904005530)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
-- PHILLIP GENTRY CALDWELL LCSW
720 N SAINT ASAPH ST
ALEXANDRIA, VA 22314-1912
Phone number: 703-838-4455
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Mailing Address
-- PHILLIP GENTRY CALDWELL LCSW
6906 HAMILTON CT
LORTON, VA 22079-1213
Phone number: 703-838-4455
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