Organization
INDEPENDENCE CHILD THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA BOURDON ED.D. (DIRECTOR)
(757) 345-6428
Entity
Organization
Contact information
Practice address
215 MCLAWS CIR STE 1, WILLIAMSBURG, VA 23185-5799
(757) 345-6428
Mailing address
215 MCLAWS CIR STE 1, WILLIAMSBURG, VA 23185-5799
(757) 345-6428
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0803000251
VA
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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