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Organization
OPENING GATES, LLC
Active
Organization
OPENING GATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ALICE WALTERS LCSW, CSAC, CEAP, (SOCIAL WORKER)
(434) 738-6566
Entity
Organization
Contact information
Practice address
670 HIGHWAY NINETY TWO, BOYDTON, VA 23917-2234
(434) 738-6566
(434) 738-6566
Mailing address
670 HIGHWAY NINETY TWO, BOYDTON, VA 23917-2234
(434) 738-6566
(434) 738-6566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002624
VA
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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