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Organization

AUTASTIC AVENUES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROBIN MCCALLISTER MA, CCC-SLP (SPEECH/LANGUAGE PATHOLOGIST)
(804) 301-8428
Entity
Organization

Contact information

Practice address
1301 ROBIN HOOD ROAD, RICHMOND, VA 23227
(804) 301-8428
Mailing address
5911 WILLOW CREEK WAY, RICHMOND, VA 23225
(804) 301-8428

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001777
VA

Other

Enumeration date
10/12/2015
Last updated
10/12/2015
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