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1427526680
STACIE LONG
ROANOKE, VA
NPI
1427526680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701007971)
Enumeration Date
2018-11-06
Last Update Date
2019-01-10
Business Address
STACIE LONG NCC, LPC
1402 GRANDIN RD SW STE 207
ROANOKE, VA 24015-2348
Phone number: 540-523-1673
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Mailing Address
STACIE LONG NCC, LPC
108 DUNCRAIG DR
LYNCHBURG, VA 24502-3335
Phone number: 434-237-9450
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