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Organization
PINE RIDGE THERAPY SERVICES PLLC
Active
Organization
PINE RIDGE THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ELIZABETH MOYERS LCSW (CLINICIAN)
(304) 777-9384
Entity
Organization
Contact information
Practice address
5570 RICHMOND RD STE 203, TROY, VA 22974-4421
(304) 777-9384
Mailing address
2285 ROSE HILL CHURCH LN, CHARLOTTESVILLE, VA 22902-7588
(304) 777-9384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
04/03/2020
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