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1679953467
OTIS WHIGHAM
LYNCHBURG, VA
NPI
1679953467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VA 0904008394)
Enumeration Date
2015-06-05
Last Update Date
2018-08-13
Business Address
OTIS WHIGHAM
2215 LANGHORNE RD
LYNCHBURG, VA 24501
Phone number: 434-948-4831
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Mailing Address
OTIS WHIGHAM
3311 OLD FOREST ROAD STE. 101
LYNCHBURG, VA 24501-1312
Phone number: 434-363-4815
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