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1609434661
JALIEEN LACYE GROGAN
CHARLOTTESVILLE, VA
NPI
1609434661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701007964)
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
JALIEEN LACYE GROGAN LPC
500 OLD LYNCHBURG RD
CHARLOTTESVILLE, VA 22903-6500
Phone number: 434-972-1800
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Mailing Address
JALIEEN LACYE GROGAN LPC
105 STEWART CIR APT B
CHARLOTTESVILLE, VA 22903-2018
Phone number:
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