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Organization

ASSOCIATED EDUCATIONS SERVICES OF VA., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINDA WOOD HENSLEY (BUSINESS MANAGER)
(804) 321-2777
Entity
Organization

Contact information

Practice address
2817 NORTH AVE, RICHMOND, VA 23222-3610
(804) 321-2777
(804) 321-0920
Mailing address
2817 NORTH AVE, RICHMOND, VA 23222-3610
(804) 321-2777
(804) 321-0920

Taxonomy

Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
BA2096483
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174612709
VA
Enumeration date
05/27/2008
Last updated
05/27/2008
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