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1629614052
ROGER G. MORTISE
FREDERICKSBURG, VA
NPI
1629614052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701008698)
Enumeration Date
2019-11-20
Last Update Date
2019-11-20
Business Address
Mr. ROGER G. MORTISE LPC
306 WESTWOOD OFFICE PARK
FREDERICKSBURG, VA 22401-5108
Phone number: 540-699-0226
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Mailing Address
Mr. ROGER G. MORTISE LPC
5374 TWIN HICKORY RD
GLEN ALLEN, VA 23059-5682
Phone number: 540-699-0226
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