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Individual

ANITA STOUDMIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5310 MARKEL RD, SUITE 102, RICHMOND, VA 23230-3030
(804) 554-0356
Mailing address
1000 JEFFERSON ST, SUITE 2C, LYNCHBURG, VA 24504-1723
(804) 554-0356

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006971
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701006971
LICENSE
VA
Enumeration date
04/20/2017
Last updated
04/20/2017
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