GEROD STUKES

SUFFOLK, VA
NPI1871254920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   3108)
Enumeration Date2021-12-31
Last Update Date2021-12-31
Business Address
GEROD STUKES BBS, ACC, APM, CSAC,
1258 HOLLAND RD
SUFFOLK, VA 23434-6313
Phone number: 757-809-4771
Mailing Address
GEROD STUKES BBS, ACC, APM, CSAC,
1258 HOLLAND RD
SUFFOLK, VA 23434-6313
Phone number: 175-780-9477
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