Mind Body Connections Llc | |
13380 Hudson Pl Bristow VA 20136-1708 | |
(703) 753-9496 | |
Not Available |
Full Name | Mind Body Connections Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 13380 Hudson Pl, Bristow, Virginia |
Authorized Official Name and Position | Nina L Mccormack (LCSW) |
Authorized Official Contact | 7037059880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mind Body Connections Llc 13380 Hudson Pl Bristow VA 20136-1708 Ph: (703) 705-9880 | Mind Body Connections Llc 13380 Hudson Pl Bristow VA 20136-1708 Ph: (703) 753-9496 |
NPI Number | 1750120762 |
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Provider Enumeration Date | 05/20/2024 |
Last Update Date | 05/20/2024 |
Certification Date | 05/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750120762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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