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Organization
PATHWAYS-VA, INC.
Active
Organization
PATHWAYS-VA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWALA FERRELL (EXECUTIVE DIRECTOR)
(804) 862-1104
Entity
Organization
Contact information
Practice address
1200 W WASHINGTON ST, PETERSBURG, VA 23803-3923
(804) 862-1104
(804) 862-1015
Mailing address
1200 W WASHINGTON ST, PETERSBURG, VA 23803-3923
(804) 862-1104
(804) 862-1015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC301671
DC
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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