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1720786106
WAYNE LAWRENCE PETERSEN
NEWPORT NEWS, VA
NPI
1720786106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2023-02-16
Last Update Date
2023-02-16
Business Address
Mr. WAYNE LAWRENCE PETERSEN MSW
13 OTSEGO DR
NEWPORT NEWS, VA 23602-2068
Phone number: 757-513-9926
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Mailing Address
Mr. WAYNE LAWRENCE PETERSEN MSW
100 EMANCIPATION DR
HAMPTON, VA 23667-0001
Phone number: 757-722-9961
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