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1588106801
MARY GIENCKE
CHESAPEAKE, VA
NPI
1588106801
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Entity Type
Organization
Authorized Contact
MARY GIENCKE
Lpc
757-490-0377
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: VA 0701006852)
Enumeration Date
2016-11-17
Last Update Date
2016-12-07
Business Address
MARY GIENCKE
609 INDEPENDENCE PKWY SUITE 115
CHESAPEAKE, VA 23320-5209
Phone number: 757-490-0377
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Mailing Address
MARY GIENCKE
609 INDEPENDENCE PKWY SUITE 115
CHESAPEAKE, VA 23320-5209
Phone number: 757-490-0377
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