Organization
SUPPORT SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER D GOBBLE LMHP (OWNER/DIRECTOR)
(540) 293-4400
Entity
Organization
Contact information
Practice address
519 HARDY RD, VINTON, VA 24179-3526
(540) 293-4400
(540) 767-7669
Mailing address
519 HARDY RD, VINTON, VA 24179-3526
(540) 293-4400
(540) 767-7669
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1225-03-001
VA
Other
Enumeration date
06/26/2008
Last updated
07/22/2008
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