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1366455305
LON SHACKELFORD
CHARLOTTESVILLE, VA
NPI
1366455305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: VA 0810000773)
Enumeration Date
2006-08-14
Last Update Date
2010-12-08
Business Address
-- LON SHACKELFORD PhD
1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902-5354
Phone number: 434-296-9161
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Mailing Address
-- LON SHACKELFORD PhD
1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902-5354
Phone number: 434-971-9611
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