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1528765500
IMONI MALIKA PATRICE WOODBERRY
PETERSBURG, VA
NPI
1528765500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701012201)
Enumeration Date
2023-02-10
Last Update Date
2023-02-10
Business Address
IMONI MALIKA PATRICE WOODBERRY LPC
20 W BANK ST
PETERSBURG, VA 23803-3279
Phone number: 804-862-8000
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Mailing Address
IMONI MALIKA PATRICE WOODBERRY LPC
3613 LUCKYLEE CRES
NORTH CHESTERFIELD, VA 23234-5709
Phone number: 804-840-6596
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