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1851952964
VICKI LOU WISE-SMITH
WINCHESTER, VA
NPI
1851952964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: VA 0710103350)
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
MRS. VICKI LOU WISE-SMITH
500 PEGASUS CT STE 500
WINCHESTER, VA 22602-4596
Phone number: 540-313-4196
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Mailing Address
MRS. VICKI LOU WISE-SMITH
716 W 13TH ST
FRONT ROYAL, VA 22630-2912
Phone number: 540-535-6196
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