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1902429798
COLEEN LIVELY
CHESAPEAKE, VA
NPI
1902429798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: VA 0813001068)
Enumeration Date
2020-05-27
Last Update Date
2020-05-27
Business Address
COLEEN LIVELY MA
2107 LIBERTY ST
CHESAPEAKE, VA 23324-3527
Phone number: 757-494-7600
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Mailing Address
COLEEN LIVELY MA
2107 LIBERTY ST
CHESAPEAKE, VA 23324-3527
Phone number: 757-494-7600
Copy
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