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Individual

ANDREW CHRISTOPHER BAKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 CONCOURSE BLVD STE 111, GLEN ALLEN, VA 23059-5642
(804) 374-9484
Mailing address
100 CONCOURSE BLVD STE 111, GLEN ALLEN, VA 23059-5642

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017534
VA

Other

Enumeration date
10/23/2024
Last updated
10/23/2024
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