Psychological And Life Skills Association | |
601 Jefferson Davis Hwy Suite 101 Fredericksburg VA 22401-4564 | |
(703) 490-0336 | |
Not Available |
Full Name | Psychological And Life Skills Association |
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Speciality | Social Worker - Clinical |
Location | 601 Jefferson Davis Hwy, Fredericksburg, Virginia |
Authorized Official Name and Position | Elizabeth Yarborough Taft (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 5712851403 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychological And Life Skills Association 601 Jefferson Davis Hwy Suite 101 Fredericksburg VA 22401-4564 Ph: (703) 490-0336 | Psychological And Life Skills Association 601 Jefferson Davis Hwy Suite 101 Fredericksburg VA 22401-4564 Ph: (703) 490-0336 |
NPI Number | 1992164834 |
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Provider Enumeration Date | 02/21/2016 |
Last Update Date | 02/21/2016 |
Identifier | Type | State | Issuer |
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1992164834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904009260 (Virginia) | Primary |
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