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1124306899
PHILIP W WICKLINE
HARRISONBURG, VA
NPI
1124306899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810004444)
Enumeration Date
2011-07-29
Last Update Date
2011-07-29
Business Address
-- PHILIP W WICKLINE
644 UNIVERSITY BLVD
HARRISONBURG, VA 22801-3750
Phone number: 540-437-7866
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Mailing Address
-- PHILIP W WICKLINE
PO BOX 1430
HARRISONBURG, VA 22803-1430
Phone number: 540-437-7989
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