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Individual

HEATHER L DYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
610 CAMPUS DR, ABINGDON, VA 24210
(276) 525-1550
(276) 525-1609
Mailing address
PO BOX 810, CEDAR BLUFF, VA 24609-0810
(276) 964-6702
(276) 964-0569

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006916
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396774147
VA
Enumeration date
09/03/2008
Last updated
11/05/2008
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