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Organization
THE CENTER FOR NEW LIFE PC
Active
Organization
THE CENTER FOR NEW LIFE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DOYLE LCSW (EXECUTIVE DIRECTOR)
(540) 667-4696
Entity
Organization
Contact information
Practice address
126 CREEKSIDE LN, WINCHESTER, VA 22602-2429
(540) 667-4696
(540) 667-4698
Mailing address
PO BOX 2017, WINCHESTER, VA 22604-1217
(540) 667-4696
(540) 667-4698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005192
VA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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