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Organization

ROBIN D BREEDEN LCSW PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROBIN D BREEDEN LCSW (MENTAL HEALTH COUNSELOR)
(540) 896-7687
Entity
Organization

Contact information

Practice address
133 W SPRINGBROOK RD, BROADWAY, VA 22815-9527
(540) 896-7687
(540) 896-7687
Mailing address
133 W SPRINGBROOK RD, BROADWAY, VA 22815-9527
(540) 896-7687
(540) 896-7687

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0904005919
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245294859
NPI
VA
Enumeration date
05/26/2011
Last updated
05/26/2011
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