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Individual

LAURA BOYD FARMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LPC

Contact information

Practice address
3959 ELECTRIC RD, SUITE 160, ROANOKE, VA 24018-4562
(540) 266-7418
(540) 266-7632
Mailing address
3959 ELECTRIC RD, SUITE 160, ROANOKE, VA 24018-4562
(540) 266-7418
(540) 266-7632

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701004797
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102339
VA

Other

Enumeration date
01/11/2012
Last updated
01/11/2012
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