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1952779472
CANDACE LASSITER
HAMPTON, VA
NPI
1952779472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810005281)
Enumeration Date
2015-09-15
Last Update Date
2015-09-15
Business Address
-- CANDACE LASSITER
2202 EXECUTIVE DR SUITE C
HAMPTON, VA 23666-6604
Phone number: 757-827-7707
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Mailing Address
-- CANDACE LASSITER
2202 EXECUTIVE DR SUITE C
HAMPTON, VA 23666-6604
Phone number: 757-827-7707
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