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1417965583
EDWARD JOHN WHITACRE
NEWPORT NEWS, VA
NPI
1417965583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904002390)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
Mr. EDWARD JOHN WHITACRE LCSW
11825 ROCK LANDING DR THE JAMES BUILDING
NEWPORT NEWS, VA 23606-4236
Phone number: 757-873-1736
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Mailing Address
Mr. EDWARD JOHN WHITACRE LCSW
4657 MASSENA DR
WILLIAMSBURG, VA 23188-1261
Phone number: 757-566-4824
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