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Organization
WILLIAMSBURG INDOOR SPORTS COMPLEX
Active
Organization
WILLIAMSBURG INDOOR SPORTS COMPLEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAIMARE LAIRD LPC (DIRECTOR OF INTEGRATED HEALTH)
(312) 351-5982
Entity
Organization
Contact information
Practice address
5700 WARHILL TRL, WILLIAMSBURG, VA 23188-9419
(757) 253-1947
Mailing address
5700 WARHILL TRL, WILLIAMSBURG, VA 23188-9419
(757) 253-1947
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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