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NPI Code Detail

MEDICARE: MR. ALBERT LEONIDAS (LEE) ARCHARD LCSW

MEDICARE: MR. ALBERT LEONIDAS (LEE) ARCHARD 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 Worker0904005207VA

General Provider Information

NPI Number : 1447494661
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALBERT LEONIDAS (LEE) ARCHARD LCSW
Provider Business Mailing Address
First Line : PO BOX 2468
Second Line :
City : GLOUCESTER
State : VA
Zip : 23061-2468
Country : US
Telephone Number : 804-693-5057
Fax Number :
Provider Business Practice Location Address
First Line : 414 MAIN ST
Second Line :
City : WARSAW
State : VA
Zip : 22572-4291
Country : US
Telephone Number : 804-333-3671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2009
Last Update Date : 07/16/2013

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Directions to “ MR. ALBERT LEONIDAS (LEE) ARCHARD LCSW” Practice Location

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