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1104313899
AMANDA PARK
CHESAPEAKE, VA
NPI
1104313899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701007584)
Enumeration Date
2018-04-18
Last Update Date
2021-11-09
Business Address
Mrs. AMANDA PARK LPC
648 INDEPENDENCE PKWY STE 400
CHESAPEAKE, VA 23320-5207
Phone number: 757-420-0530
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Mailing Address
Mrs. AMANDA PARK LPC
833 CREEKSIDE CRES
CHESAPEAKE, VA 23320-9263
Phone number: 757-202-5291
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