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Organization
7 CITIES OUTREACH SADDLE CLUB, INC.
Active
Organization
7 CITIES OUTREACH SADDLE CLUB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYLL MARIE HAWTHORNE (EXECUTIVE DIRECTOR)
(757) 218-8233
Entity
Organization
Contact information
Practice address
5070 MINERAL SPRING RD, SUFFOLK, VA 23438-9621
(757) 218-8233
Mailing address
5070 MINERAL SPRING RD, SUFFOLK, VA 23438-9621
(757) 218-8233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0810003069
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639198153
—
VA
Enumeration date
08/18/2015
Last updated
08/21/2015
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