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1437625233
KIMBERLY LYNN MAUCK
HENRICO, VA
NPI
1437625233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701007914)
Enumeration Date
2018-10-18
Last Update Date
2018-10-18
Business Address
Ms. KIMBERLY LYNN MAUCK LPC, CSAC
8527 MAYLAND DR STE 103
HENRICO, VA 23294-4753
Phone number: 804-363-2583
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Mailing Address
Ms. KIMBERLY LYNN MAUCK LPC, CSAC
1102 HILLSIDE AVE
HENRICO, VA 23229-5918
Phone number: 804-317-3571
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