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NPI Code Detail

MEDICARE: DIANNE ROBINSON CALLENDER

MEDICARE: DIANNE ROBINSON CALLENDER
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
11041S0200XSchool Social Worker

General Provider Information

NPI Number : 1255825725
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNE ROBINSON CALLENDER
Provider Business Mailing Address
First Line : 119 W LEIGH ST
Second Line :
City : RICHMOND
State : VA
Zip : 23220-3210
Country : US
Telephone Number : 804-780-4388
Fax Number : 804-780-8184
Provider Business Practice Location Address
First Line : 119 W LEIGH ST
Second Line :
City : RICHMOND
State : VA
Zip : 23220-3210
Country : US
Telephone Number : 804-780-4388
Fax Number : 804-780-8184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2018
Last Update Date : 06/19/2018

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Directions to “ DIANNE ROBINSON CALLENDER ” Practice Location

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