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1598582959
MICO LAY
HAMPTON, VA
NPI
1598582959
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI CSW03859)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
MICO LAY
100 EMANCIPATION DR
HAMPTON, VA 23667-0001
Phone number: 757-722-9961
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Mailing Address
MICO LAY
PO BOX 65490
VIRGINIA BEACH, VA 23467-5490
Phone number:
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