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1285241570
LARRY N. WOOTTEN
HAMPTON, VA
NPI
1285241570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810007242)
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
LARRY N. WOOTTEN
100 EMANCIPATION DR
HAMPTON, VA 23667-0001
Phone number: 757-722-9961
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Mailing Address
LARRY N. WOOTTEN
814 DENHAM ARCH
CHESAPEAKE, VA 23322-6816
Phone number: 760-221-7719
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