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Organization

KIDS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY CHARLES MCNEIL LCSW (THERAPIST)
(540) 362-1529
Entity
Organization

Contact information

Practice address
3063 ORDWAY DR NW, APT H, ROANOKE, VA 24017-1977
(540) 362-1526
Mailing address
3063 ORDWAY DR NW, APT H, ROANOKE, VA 24017-1977
(540) 362-1526

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003211
VA

Other

Enumeration date
09/20/2007
Last updated
09/20/2007
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