| Reclaiming Royalty Llc | |
|
3400 S Clark St Apt 722 Arlington VA 22202-4059 | |
| (812) 269-2906 | |
| Not Available |
| Full Name | Reclaiming Royalty Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3400 S Clark St Apt 722, Arlington, Virginia |
| Authorized Official Name and Position | Michael Dwayne Whitside (GENERAL PARTNER) |
| Authorized Official Contact | 8122692906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reclaiming Royalty Llc 3400 S Clark St Apt 722 Arlington VA 22202-4059 Ph: () - | Reclaiming Royalty Llc 3400 S Clark St Apt 722 Arlington VA 22202-4059 Ph: (812) 269-2906 |
| NPI Number | 1891552303 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891552303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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