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1861765349
LORA HACK
GOOCHLAND, VA
NPI
1861765349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904007818)
Enumeration Date
2012-02-15
Last Update Date
2012-02-15
Business Address
-- LORA HACK LCSW
3058 RIVER RD W
GOOCHLAND, VA 23063-3202
Phone number: 804-556-5400
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Mailing Address
-- LORA HACK LCSW
3910 OLD BUCKINGHAM RD
POWHATAN, VA 23139-5757
Phone number: 804-598-2200
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