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Individual

MR. JONATHAN A DOYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
125 S CAMERON ST, WINCHESTER, VA 22601-4732
(540) 722-0750
(540) 722-0751
Mailing address
125 S CAMERON ST, WINCHESTER, VA 22601-4732
(540) 722-0750
(540) 722-0751

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005192
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146743
ANTHEM
VA
Enumeration date
08/12/2006
Last updated
07/08/2007
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