Individual
KYLE SCAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1057 MAHANES RD, GORDONSVILLE, VA 22942-6435
(434) 882-5160
Mailing address
1057 MAHANES RD, GORDONSVILLE, VA 22942-6435
(434) 882-5160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013461
VA
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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