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1346322674
LAURA G FORMAN
NORFOLK, VA
NPI
1346322674
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Other Name
LAURA G ROBERTO-FORMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810001083)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
-- LAURA G FORMAN PHD
327 W 21ST ST SUITE 205
NORFOLK, VA 23517-2130
Phone number: 757-622-9852
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Mailing Address
-- LAURA G FORMAN PHD
327 W 21ST ST SUITE 205
NORFOLK, VA 23517-2130
Phone number: 757-622-9852
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