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NPI Code Detail

MEDICARE: MICHELLE L TOLAND LCSW

MEDICARE: MICHELLE L TOLAND LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0904012934VA
21041C0700XClinical Social WorkerCW024421PA

General Provider Information

NPI Number : 1710235627
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE L TOLAND LCSW
Provider Business Mailing Address
First Line : 199 LIBERTY ST SW
Second Line :
City : LEESBURG
State : VA
Zip : 20175-2715
Country : US
Telephone Number : 804-207-6737
Fax Number : 804-730-2829
Provider Business Practice Location Address
First Line : 199 LIBERTY ST SW
Second Line :
City : LEESBURG
State : VA
Zip : 20175-2715
Country : US
Telephone Number : 804-207-6737
Fax Number : 804-730-2829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2012
Last Update Date : 05/09/2024

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Directions to “ MICHELLE L TOLAND LCSW” Practice Location

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