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1457034563
KAILA NICOLE LAXA
NORFOLK, VA
NPI
1457034563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
KAILA NICOLE LAXA PhD, MA
6330 NEWTOWN RD STE 625
NORFOLK, VA 23502-4807
Phone number: 757-206-2378
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Mailing Address
KAILA NICOLE LAXA PhD, MA
3012 PARKSIDE CIR
SUFFOLK, VA 23435-3378
Phone number: 757-383-5432
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