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Individual

MARCIE GAYLE AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
2310 DELAWARE AVE NW, ROANOKE, VA 24017-3524
(540) 904-8116
Mailing address
2310 DELAWARE AVE NW, ROANOKE, VA 24017-3524
(540) 904-8116

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
06/09/2009
Last updated
03/16/2010
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