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1104604347
SHAWNETTE REID
HAMPTON, VA
NPI
1104604347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0709024824)
Enumeration Date
2023-09-19
Last Update Date
2023-09-19
Business Address
SHAWNETTE REID
2200 EXECUTIVE DR STE E
HAMPTON, VA 23666-2582
Phone number: 800-805-6989
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Mailing Address
SHAWNETTE REID
106 FOUNDERS APT 103
PORTSMOUTH, VA 23707-4589
Phone number: 757-292-1014
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