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1528619269
STACEY BOLT
BLACKSBURG, VA
NPI
1528619269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701008655)
Enumeration Date
2019-09-24
Last Update Date
2024-06-20
Business Address
STACEY BOLT LPC
103 S HILL DR STE A
BLACKSBURG, VA 24060-5709
Phone number: 540-516-3043
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Mailing Address
STACEY BOLT LPC
103 S HILL DR STE A
BLACKSBURG, VA 24060-5709
Phone number: 540-516-3043
Copy
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