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1952396012
THEODORE SIEDLECKI
CHARLOTTESVILLE, VA
NPI
1952396012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: VA 0810001918)
Enumeration Date
2005-09-14
Last Update Date
2012-04-19
Business Address
DR. THEODORE SIEDLECKI PH.D.
233 HYDRAULIC RIDGE RD STE 204
CHARLOTTESVILLE, VA 22901-8129
Phone number: 434-973-2526
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Mailing Address
DR. THEODORE SIEDLECKI PH.D.
233 HYDRAULIC RIDGE RD STE 204
CHARLOTTESVILLE, VA 22901-8129
Phone number: 434-973-2526
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