Individual
BREAUDREA SCALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 WICKERSHAM ROAD, RIDGEWAY, VA 24148
(276) 340-8965
Mailing address
PO BOX 1554, RIDGEWAY, VA 24148-1554
(276) 340-8965
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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