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1659834992
IAN T WALLOCH
VIRGINIA BEACH, VA
NPI
1659834992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2019-04-12
Last Update Date
2022-01-17
Business Address
IAN T WALLOCH
780 LYNNHAVEN PKWY STE 400
VIRGINIA BEACH, VA 23452-7332
Phone number: 224-206-5001
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Mailing Address
IAN T WALLOCH
780 LYNNHAVEN PKWY STE 400
VIRGINIA BEACH, VA 23452-7332
Phone number: 224-206-5001
Copy
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