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1902190986
REBECCA MAXINE WYATT
PETERSBURG, VA
NPI
1902190986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 704151)
Enumeration Date
2011-06-07
Last Update Date
2011-06-07
Business Address
-- REBECCA MAXINE WYATT cadc, ccjp, csc
4 S MARKET ST
PETERSBURG, VA 23803-4216
Phone number: 804-691-6144
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Mailing Address
-- REBECCA MAXINE WYATT cadc, ccjp, csc
4 S MARKET ST
PETERSBURG, VA 23803-4216
Phone number: 804-691-6144
Copy
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