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1730824996
VIRGINIA WALL FOXWORTH
FERNANDINA BEACH, FL
NPI
1730824996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 20226)
Enumeration Date
2022-05-02
Last Update Date
2022-05-02
Business Address
VIRGINIA WALL FOXWORTH LMHC
717 S 8TH ST
FERNANDINA BEACH, FL 32034-3702
Phone number: 904-555-5555
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Mailing Address
VIRGINIA WALL FOXWORTH LMHC
204 S 6TH ST
FERNANDINA BEACH, FL 32034-3916
Phone number: 904-556-1642
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