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1629545066
JENNIFER MODICA
CHESAPEAKE, VA
NPI
1629545066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: VA 0701007006)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
JENNIFER MODICA
224 GREAT BRIDGE BLVD
CHESAPEAKE, VA 23320-3904
Phone number: 757-547-9334
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Mailing Address
JENNIFER MODICA
224 GREAT BRIDGE BLVD
CHESAPEAKE, VA 23320-3904
Phone number: 757-547-9334
Copy
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