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1205144995
BRANDIE LATRICE FRACTION
ROANOKE, VA
NPI
1205144995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701004912)
Enumeration Date
2010-09-16
Last Update Date
2010-09-16
Business Address
Mrs. BRANDIE LATRICE FRACTION LPC
3517 BRANDON AVE SW
ROANOKE, VA 24018-1523
Phone number: 540-344-4042
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Mailing Address
Mrs. BRANDIE LATRICE FRACTION LPC
301 ELM AVE SW
ROANOKE, VA 24016-4001
Phone number:
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