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1871254920
GEROD STUKES
SUFFOLK, VA
NPI
1871254920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: 3108)
Enumeration Date
2021-12-31
Last Update Date
2021-12-31
Business Address
GEROD STUKES BBS, ACC, APM, CSAC,
1258 HOLLAND RD
SUFFOLK, VA 23434-6313
Phone number: 757-809-4771
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Mailing Address
GEROD STUKES BBS, ACC, APM, CSAC,
1258 HOLLAND RD
SUFFOLK, VA 23434-6313
Phone number: 175-780-9477
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