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1750079539
TAESHAWN LAVAR BARHAM
PORTSMOUTH, VA
NPI
1750079539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TH0100X Psychologist, Health Service
Enumeration Date
2023-04-28
Last Update Date
2023-04-28
Business Address
TAESHAWN LAVAR BARHAM
2009 KING ST
PORTSMOUTH, VA 23704-3019
Phone number: 757-895-9503
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Mailing Address
TAESHAWN LAVAR BARHAM
2009 KING ST
PORTSMOUTH, VA 23704-3019
Phone number: 757-895-9503
Copy
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