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1396259461
STACEY LYN TODD
ROANOKE, VA
NPI
1396259461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904010208)
Enumeration Date
2017-11-27
Last Update Date
2018-03-17
Business Address
STACEY LYN TODD LCSW
2965 COLONNADE DR STE 100
ROANOKE, VA 24018-3541
Phone number: 540-989-1703
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Mailing Address
STACEY LYN TODD LCSW
1047 BARRENS VILLAGE CT
ROANOKE, VA 24019-2344
Phone number: 540-819-5579
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