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Organization
NORTHERN NECK LIFE CONSULTANTS, PLLC
Active
Organization
NORTHERN NECK LIFE CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT LEONIDAS ARCHARD LCSW (PRESIDENT)
(804) 356-3008
Entity
Organization
Contact information
Practice address
25 OFFICE PARK DR STE 2, KILMARNOCK, VA 22482-2805
(804) 356-3008
Mailing address
PO BOX 607, KILMARNOCK, VA 22482-0607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005207
VA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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