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Individual

DR. WILLIAM PLAXCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
8680 HOSPITAL WAY, MANASSAS, VA 20110-4287
(703) 369-8055
(703) 369-8565
Mailing address
8680 HOSPITAL WAY, MANASSAS, VA 20110-4287
(703) 369-8055
(703) 369-8565

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810001256
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7700431
VA
Enumeration date
08/23/2005
Last updated
07/08/2007
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