Solomon's Promise | |
401 S Hicks St Lawrenceville VA 23868-2115 | |
(434) 774-6191 | |
Not Available |
Full Name | Solomon's Promise |
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Speciality | Social Worker |
Location | 401 S Hicks St, Lawrenceville, Virginia |
Authorized Official Name and Position | Elaine Cole (LICENSED SOCIAL WORKER) |
Authorized Official Contact | 4347746191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Solomon's Promise 401 S Hicks St Lawrenceville VA 23868-2115 Ph: (434) 774-6191 | Solomon's Promise 401 S Hicks St Lawrenceville VA 23868-2115 Ph: (434) 774-6191 |
NPI Number | 1184099301 |
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Provider Enumeration Date | 12/14/2015 |
Last Update Date | 12/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184099301 | NPI | - | NPPES |
1578526083 | Other | VA | TYPE 1 NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | 0904001968 (Virginia) | Primary |
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