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1396078069
PROVIDENCE CONSULTING AND CLINICAL SERVICES
VIRGINIA BEACH, VA
NPI
1396078069
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Entity Type
Organization
Authorized Contact
MARK A YARHOUSE
President
757-348-8680
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: VA 0810000366)
Enumeration Date
2009-09-14
Last Update Date
2009-09-14
Business Address
PROVIDENCE CONSULTING AND CLINICAL SERVICES
1000 REGENT UNIVERSITY DR CRB 161
VIRGINIA BEACH, VA 23464-5037
Phone number: 757-348-8680
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Mailing Address
PROVIDENCE CONSULTING AND CLINICAL SERVICES
1989 BLUE KNOB RD
VIRGINIA BEACH, VA 23464-7435
Phone number: 757-348-8680
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