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1417919895
SHA-RON M. HADDOCK
HAMPTON, VA
NPI
1417919895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904003507)
Enumeration Date
2006-04-03
Last Update Date
2007-07-08
Business Address
Ms. SHA-RON M. HADDOCK LCSW
100 EMANCIPATION DR BLDG 137; 2 SOUTH (116A)
HAMPTON, VA 23667-0001
Phone number: 757-722-9961
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Mailing Address
Ms. SHA-RON M. HADDOCK LCSW
117 W CITY HALL AVE APT #508
NORFOLK, VA 23510-1733
Phone number: 757-722-9961
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