Organization
FORTITUDE WELLNESS COLLECTIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHONDA IESHA RILEY LCSW, LICSW (CLINICAL SOCIAL WORKER)
(228) 218-3593
Entity
Organization
Contact information
Practice address
3922 VERMONT AVE, ALEXANDRIA, VA 22304-6325
(202) 505-1916
Mailing address
712 H ST NE STE 1851, WASHINGTON, DC 20002-3627
(202) 505-1916
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/05/2023
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