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1487015210
NIKOL STUP
ROANOKE, VA
NPI
1487015210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701006530)
Enumeration Date
2016-03-07
Last Update Date
2016-03-07
Business Address
-- NIKOL STUP LPC
2965 COLONNADE DR SUITE 100
ROANOKE, VA 24018-3557
Phone number: 540-989-1703
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Mailing Address
-- NIKOL STUP LPC
4421 STONEWALL RD NW
ROANOKE, VA 24017-4339
Phone number:
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