Individual
MR. LAURENCE KELLY FURGURSON III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
20 W BANK ST, PETERSBURG, VA 23803-3279
(804) 862-8003
Mailing address
12412 NORTHLAKE PL, RICHMOND, VA 23233-6636
(804) 360-9876
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002917
VA
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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