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Individual
MR. STEPHEN EARL GAUSE
Active
Individual
MR. STEPHEN EARL GAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
692
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701005383
LPC
VA
01
—
692
LIC. PROF. COUNSELOR
NC
Enumeration date
05/23/2007
Last updated
02/14/2013
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