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1922003458
THEO A PETROCCI
ROANOKE, VA
NPI
1922003458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701000926)
Enumeration Date
2005-06-21
Last Update Date
2016-03-29
Business Address
Mr. THEO A PETROCCI LPC
16 WALNUT AVE SW
ROANOKE, VA 24016-4719
Phone number: 540-345-6468
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Mailing Address
Mr. THEO A PETROCCI LPC
3500 GROVE AVE STE 102
RICHMOND, VA 23221-2220
Phone number: 804-822-0271
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