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Organization
FORTITUDE WELLNESS COLLECTIVE, LLC
Active
Organization
FORTITUDE WELLNESS COLLECTIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHONDA IESHA RILEY LCSW, LICSW (CLINICAL SOCIAL WORKER)
(228) 218-3593
Entity
Organization
Contact information
Practice address
3922 VERMONT AVE, ALEXANDRIA, VA 22304-6325
(202) 505-1916
Mailing address
712 H ST NE STE 1851, WASHINGTON, DC 20002-3627
(202) 505-1916
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/05/2023
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