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1700186178
NIKITA E STOVER
DECATUR, AL
NPI
1700186178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-11-01
Last Update Date
2010-11-01
Business Address
-- NIKITA E STOVER
4110 US HIGHWAY 31 S
DECATUR, AL 35603-1644
Phone number: 256-355-6091
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Mailing Address
-- NIKITA E STOVER
1316 SOMERVILLE RD SE SUITE 1
DECATUR, AL 35601-4305
Phone number: 256-355-6091
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