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Organization
THERAPEUTIC MILESTONEZ LLC
Active
Organization
THERAPEUTIC MILESTONEZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARROD WALLACE (OWNER)
(804) 223-0802
Entity
Organization
Contact information
Practice address
6600 INDIAN TRAIL CT, ALEXANDRIA, VA 22310-2411
(804) 223-0802
Mailing address
6600 INDIAN TRAIL CT, ALEXANDRIA, VA 22310-2411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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