| Plumb Alley Lcsw, Inc. | |
|
27207 Fudge Rd Abingdon VA 24210-9447 | |
| (276) 695-0245 | |
| (804) 412-2985 |
| Full Name | Plumb Alley Lcsw, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 27207 Fudge Rd, Abingdon, Virginia |
| Authorized Official Name and Position | Molly Lynn Gallacher (PRESIDENT) |
| Authorized Official Contact | 2766950245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plumb Alley Lcsw, Inc. 27207 Fudge Rd Abingdon VA 24210-9447 Ph: (276) 695-0245 | Plumb Alley Lcsw, Inc. 27207 Fudge Rd Abingdon VA 24210-9447 Ph: (276) 695-0245 |
| NPI Number | 1407900079 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407900079 | NPI | - | NPPES |
| Q028248 | Medicaid | TN | |
| 010217831 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904005571 (Virginia) | Primary |
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