Individual
LAURA JEAN DUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 HARRIS ST STE 205, CHARLOTTESVILLE, VA 22903-4584
(540) 383-5003
Mailing address
4432 GARTH ROAD, CHARLOTTESVILLE, VA 22901
(540) 383-5003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904006373
VA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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