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1912548538
WILLIAM DATTA
RICHMOND, VA
NPI
1912548538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904011300)
Enumeration Date
2019-10-04
Last Update Date
2019-10-04
Business Address
WILLIAM DATTA LCSW
3900 W BROAD ST
RICHMOND, VA 23230-3914
Phone number: 804-353-4461
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Mailing Address
WILLIAM DATTA LCSW
3900 W BROAD ST
RICHMOND, VA 23230-3914
Phone number: 804-353-4461
Copy
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