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Organization

RAPPAHANNOCK AREA CSB

Active
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Organization

RAPPAHANNOCK AREA CSB

Active
Other names
PEID
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RENDA DUBOSE (CREDENTIALING COORDINATOR)
(540) 373-3223
Entity
Organization

Contact information

Practice address
600 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 373-3223
(540) 371-3753
Mailing address
600 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 373-3223
(540) 371-3753

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
252Y00000X
Early Intervention Provider Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004978145
VA
Enumeration date
04/13/2007
Last updated
08/15/2024
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