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1871694265
CHARLES BRENT LASLIE
MANASSAS, VA
NPI
1871694265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904002368)
Enumeration Date
2006-09-26
Last Update Date
2007-07-09
Business Address
Mr. CHARLES BRENT LASLIE LCSW
8641 BREEDEN AVE SUITE 200
MANASSAS, VA 20110-8431
Phone number: 703-392-6850
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Mailing Address
Mr. CHARLES BRENT LASLIE LCSW
2510 DEEPFORD DR
WOODBRIDGE, VA 22192-1607
Phone number: 703-201-6696
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