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1093732679
VIRGINIA A SMITH
KENOSHA, WI
NPI
1093732679
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Former Name
VIRGINIA A LECLAIR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WI 3146-125)
Enumeration Date
2006-07-17
Last Update Date
2023-05-11
Business Address
MRS. VIRGINIA A SMITH MS, LPC
520 58TH ST. STE 200
KENOSHA, WI 53140
Phone number: 262-748-6048
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Mailing Address
MRS. VIRGINIA A SMITH MS, LPC
520 58TH ST STE 200
KENOSHA, WI 53140
Phone number: 262-748-6048
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