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1871849257
LIQUORI LEMONT ETHERIDGE
FORT BELVOIR, VA
NPI
1871849257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC c007613)
Enumeration Date
2012-08-03
Last Update Date
2023-10-30
Business Address
LIQUORI LEMONT ETHERIDGE LCSW
9300 DEWITT LOOP
FORT BELVOIR, VA 22060-5285
Phone number: 571-515-8052
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Mailing Address
LIQUORI LEMONT ETHERIDGE LCSW
PO BOX 13047
COLORADO SPRINGS, CO 80902-0047
Phone number: 254-317-7986
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