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MRS. LUCILLE ANNETTE STUBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC,LMFT

Contact information

Practice address
1213 LASKIN RD, SUITE 104, VIRGINIA BEACH, VA 23451-5260
(757) 428-6016
Mailing address
4624 LAUDERDALE AVE, VIRGINIA BEACH, VA 23455-1419
(757) 363-8371
(757) 363-9099

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
071700636/0701002317
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5407419
VA
Enumeration date
08/24/2006
Last updated
07/08/2007
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