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Individual

KEVIN RATLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
30 TECHNOLOGY DR, ROCKY MOUNT, VA 24151-3008
(540) 483-0583
(276) 632-0127
Mailing address
24 CLAY ST, MARTINSVILLE, VA 24112-2810
(276) 632-7128
(276) 632-0127

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008790
VA

Other

Enumeration date
11/25/2019
Last updated
11/25/2019
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