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Organization
SPECTRUM THERAPUETIC SERVICES, PLLC
Active
Organization
SPECTRUM THERAPUETIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA CALDWELL (THERAPIST/OWNER)
(540) 585-3075
Entity
Organization
Contact information
Practice address
140 E MAIN ST, RADFORD, VA 24141-1787
(540) 585-3075
Mailing address
7351 PEPPERS FERRY BLVD, SUITE 16, FAIRLAWN, VA 24141-8857
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000209
VA
1041C0700X
Clinical Social Worker
0904007384
VA
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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