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Individual
DR. ATHENA STAIK
Active
Individual
DR. ATHENA STAIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0717001136
VA
Other
Enumeration date
10/16/2007
Last updated
12/19/2007
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