| Uphold 3:18 | |
|
1320 Central Park Blvd Ste 200 Fredericksburg VA 22401-4953 | |
| (540) 645-7083 | |
| Not Available |
| Full Name | Uphold 3:18 |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1320 Central Park Blvd Ste 200, Fredericksburg, Virginia |
| Authorized Official Name and Position | Gary T Taylor (LEAD CLINICIAN) |
| Authorized Official Contact | 5406457083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uphold 3:18 1320 Central Park Blvd Ste 200 Fredericksburg VA 22401-4953 Ph: () - | Uphold 3:18 1320 Central Park Blvd Ste 200 Fredericksburg VA 22401-4953 Ph: (540) 645-7083 |
| NPI Number | 1255066486 |
|---|---|
| Provider Enumeration Date | 07/21/2022 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255066486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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