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1811555923
STEPHANIE LAUREN WEATHERFORD
SALEM, VA
NPI
1811555923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904011111)
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
Miss STEPHANIE LAUREN WEATHERFORD LCSW
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-382-2463
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Mailing Address
Miss STEPHANIE LAUREN WEATHERFORD LCSW
200 FACTORY HILL RD
CALLAWAY, VA 24067-5104
Phone number: 434-259-1021
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