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1346482577
LISA A CHARLES
MIDLOTHIAN, VA
NPI
1346482577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103T00000X Psychologist
(Licence: VA PPS-0601360)
Enumeration Date
2009-04-02
Last Update Date
2018-06-04
Business Address
LISA A CHARLES M.S.Ed.
4613 VALLEY CREST DR #301
MIDLOTHIAN, VA 23112
Phone number: 804-447-8049
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Mailing Address
LISA A CHARLES M.S.Ed.
41521 W 11 MILE RD
NOVI, MI 48375-1803
Phone number: 804-447-8049
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