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610 Peppers Fry Rd Nw Ste E Christiansburg VA 24073-5703 | |
(814) 572-4708 | |
Not Available |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 610 Peppers Fry Rd Nw Ste E, Christiansburg, Virginia |
Authorized Official Name and Position | Mary Mcintosh (OWNER) |
Authorized Official Contact | 5404496240 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1085 Juniper Dr Christiansburg VA 24073-5891 Ph: (814) 572-4708 | 610 Peppers Fry Rd Nw Ste E Christiansburg VA 24073-5703 Ph: (814) 572-4708 |
NPI Number | 1447807342 |
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Provider Enumeration Date | 08/25/2019 |
Last Update Date | 06/27/2022 |
Certification Date | 06/27/2022 |
Identifier | Type | State | Issuer |
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1447807342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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