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1306626452
PEYTON MICHAEL LASSITER
PETERSBURG, VA
NPI
1306626452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701011996)
Enumeration Date
2023-10-04
Last Update Date
2023-10-04
Business Address
PEYTON MICHAEL LASSITER LPC
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805-9274
Phone number: 804-765-6823
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Mailing Address
PEYTON MICHAEL LASSITER LPC
1906 TITANIUM AVE APT 302
MIDLOTHIAN, VA 23114-6570
Phone number: 804-299-1674
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