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Organization
ATLANTIC FAMILY AND ADOLESCENT THERAPY, PLLC
Active
Organization
ATLANTIC FAMILY AND ADOLESCENT THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN WOLF LMFT (OWNER)
(757) 650-5346
Entity
Organization
Contact information
Practice address
1120 LASKIN RD, SUITE 104, VIRGINIA BEACH, VA 23451-5273
(757) 650-5346
Mailing address
1120 LASKIN RD, SUITE 104, VIRGINIA BEACH, VA 23451-5273
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001347
VA
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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