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Individual

HOLLY WAIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1064 LASKIN RD STE 14C, VIRGINIA BEACH, VA 23451-6337
(757) 233-1500
Mailing address
1056 HAYGOOD ESTATE LN, VIRGINIA BEACH, VA 23455-5558

Taxonomy

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

Other

Enumeration date
08/14/2020
Last updated
08/14/2020
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