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1861854663
STACEY THOMPSON
LYNCHBURG, VA
NPI
1861854663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701006139)
Enumeration Date
2016-03-22
Last Update Date
2016-03-22
Business Address
Miss STACEY THOMPSON LPC-S
3300 RIVERMONT AVE PATHWAYS ADDICTION RECOVERY CENTER
LYNCHBURG, VA 24503-2030
Phone number: 434-200-4455
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Mailing Address
Miss STACEY THOMPSON LPC-S
3300 RIVERMONT AVE PATHWAYS ADDICTION RECOVERY CENTER
LYNCHBURG, VA 24503-2030
Phone number:
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