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Individual

DONALD KIRK DENT II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3433 BRAMBLETON AVE STE 201A, ROANOKE, VA 24018-6527
(540) 266-7550
Mailing address
3433 BRAMBLETON AVE STE 201A, ROANOKE, VA 24018-6527
(540) 266-7550

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194996280
VA
Enumeration date
04/19/2018
Last updated
06/16/2018
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