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Organization
WELLNESS PLACE, LLC
Active
Organization
WELLNESS PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY HUNTER SUDDUTH L.C.S.W. (PRESIDENT)
(804) 238-0383
Entity
Organization
Contact information
Practice address
622 MAIN ST, WARSAW, VA 22572-4280
(804) 238-0383
(866) 639-3167
Mailing address
622 MAIN ST, WARSAW, VA 22572-4280
(804) 238-0383
(866) 639-3167
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006847
VA
Other
Enumeration date
11/11/2009
Last updated
06/06/2024
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