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1568224731
RYAN TIMOTHY FLACK
ROANOKE, VA
NPI
1568224731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701013243)
Enumeration Date
2024-01-24
Last Update Date
2024-01-24
Business Address
Mr. RYAN TIMOTHY FLACK LPC
1454 MEXICO WAY NE
ROANOKE, VA 24012-6476
Phone number: 434-533-1088
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Mailing Address
Mr. RYAN TIMOTHY FLACK LPC
6430 ARCHCREST DR APT 106
ROANOKE, VA 24019-1185
Phone number: 540-580-6221
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