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NPI Code Detail

MEDICARE: RESILIENCY STRATEGIES LLC

MEDICARE: RESILIENCY STRATEGIES LLC
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 Worker0904003092VA

General Provider Information

NPI Number : 1326367301
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESILIENCY STRATEGIES LLC
Provider Business Mailing Address
First Line : 2002 MOUNT VERNON AVE
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22301-1343
Country : US
Telephone Number : 703-859-5981
Fax Number :
Provider Business Practice Location Address
First Line : 2002 MOUNT VERNON AVE
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22301-1343
Country : US
Telephone Number : 703-859-5981
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANGELA ODDONE
Credential : M.S.W.
Telephone Number : 703-859-5981
Provider Enumeration Date : 05/29/2010
Last Update Date : 05/29/2010

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Directions to “RESILIENCY STRATEGIES LLC ” Practice Location

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