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1366192452
MICHAEL JACOB FISHER
ROANOKE, VA
NPI
1366192452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-24
Last Update Date
2022-03-24
Business Address
MICHAEL JACOB FISHER CSAC-S,
3208 HERSHBERGER RD NW
ROANOKE, VA 24017-1842
Phone number: 540-202-2402
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Mailing Address
MICHAEL JACOB FISHER CSAC-S,
2306 LONGVIEW AVE SW
ROANOKE, VA 24014-1614
Phone number: 603-978-9032
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