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1750467395
JACK C CHILDERS
LEESBURG, VA
NPI
1750467395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701003420)
Enumeration Date
2006-10-27
Last Update Date
2010-02-19
Business Address
-- JACK C CHILDERS LPC
7 LOUDOUN ST SW
LEESBURG, VA 20175-2933
Phone number: 703-771-4041
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Mailing Address
-- JACK C CHILDERS LPC
7 LOUDOUN ST SW
LEESBURG, VA 20175-2933
Phone number: 703-771-4041
Copy
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