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1366411290
FREDDIE DEAN VINES
NEWPORT NEWS, VA
NPI
1366411290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904002078)
Enumeration Date
2006-03-14
Last Update Date
2008-01-17
Business Address
-- FREDDIE DEAN VINES
703 THIMBLE SHOALS BLVD A-3
NEWPORT NEWS, VA 23606-2576
Phone number: 757-873-2307
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Mailing Address
-- FREDDIE DEAN VINES
8589 E CREEK LN
HAYES, VA 23072-3748
Phone number: 757-873-2307
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