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1427520188
BETHANY LACKEY
ROANOKE, VA
NPI
1427520188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701007503)
Enumeration Date
2018-12-19
Last Update Date
2019-03-03
Business Address
BETHANY LACKEY LPC
1409 GRANDIN RD SW
ROANOKE, VA 24015-2317
Phone number: 276-224-2647
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Mailing Address
BETHANY LACKEY LPC
916B WINONA AVE SW
ROANOKE, VA 24015-5326
Phone number: 276-224-2647
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