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Individual

MRS. LEE KELLY BOWDITCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
12420 WARWICK BLVD, BLDG. 7 SUITE C, NEWPORT NEWS, VA 23606-3001
(757) 595-3900
(757) 595-0649
Mailing address
101 PARKWAY DR, NEWPORT NEWS, VA 23606-3649
(757) 595-1970
(757) 595-0649

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001247
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5409128
VA
Enumeration date
07/09/2006
Last updated
07/08/2007
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