Individual
GAIL R FEAGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
373 CECIL D QUILLEN DR, STE 101, DUFFIELD, VA 24244-4085
(276) 431-1638
(276) 431-1639
Mailing address
373 CECIL D QUILLEN DR, STE 101, DUFFIELD, VA 24244-4085
(423) 782-8872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005085
VA
1041C0700X
Clinical Social Worker
LSW0000003819
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008941041
—
VA
01
—
P00164012
RR MEDICARE
TN
Enumeration date
04/26/2007
Last updated
06/22/2016
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