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1306597190
KEITH A MEDEIROS
ABINGDON, VA
NPI
1306597190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701011055)
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
Mr. KEITH A MEDEIROS LPC
454 E MAIN ST
ABINGDON, VA 24210-3408
Phone number: 276-300-4422
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Mailing Address
Mr. KEITH A MEDEIROS LPC
454 E MAIN ST
ABINGDON, VA 24210-3408
Phone number: 276-300-4422
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