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Organization

NEW STRESS CLINIC INC

Active
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Organization

NEW STRESS CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAMA S PRAYAGA M.D (MD)
(301) 674-2742
Entity
Organization

Contact information

Practice address
5194 DAWES AVE, ALEXANDRIA, VA 22311
(301) 674-2742
Mailing address
5194 DAWES AVE, ALEXANDRIA, VA 22311-1402
(301) 674-2742

Taxonomy

Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
0101053989
VA
251S00000X
Community/Behavioral Health Agency
Primary
MD21377
DC

Other

Enumeration date
12/22/2012
Last updated
08/14/2018
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