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Organization
FREDERICKSBURG AREA HEALTH AND SUPPORT SERVICES
Active
Organization
FREDERICKSBURG AREA HEALTH AND SUPPORT SERVICES
Active
Parent organization
FREDERICKSBURG AREA HEALTH AND SUPPORT SERVICES
Other names
Mosaic Care Center, Fredericksburg Area HIV/AIDS Support Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDERICKSBURG AREA HEALTH AND SUPPORT SERVICES
Authorized official
JOSEPH LYTTLE (EXECUTIVE DIRECTOR)
(540) 907-4555
Entity
Organization
Contact information
Practice address
10514 WAKEMAN DR, FREDERICKSBURG, VA 22407-8040
(540) 993-4473
Mailing address
4343 PLANK RD STE 100, FREDERICKSBURG, VA 22407-4807
(540) 993-4473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
08/30/2022
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