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NPI Code Detail

MEDICARE: KRISTINE B RAND LCSW

MEDICARE:   KRISTINE B RAND  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
1133V00000XRegistered Dietitian00664356VA
21041C0700XClinical Social Worker0904007871VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497029011
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE B RAND LCSW
Provider Business Mailing Address
First Line : 208 E PLUME ST # 327B
Second Line :
City : NORFOLK
State : VA
Zip : 23510-1757
Country : US
Telephone Number : 757-637-0840
Fax Number :
Provider Business Practice Location Address
First Line : 208 E PLUME ST # 327B
Second Line :
City : NORFOLK
State : VA
Zip : 23510-1757
Country : US
Telephone Number : 757-637-0840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2012
Last Update Date : 10/22/2022

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Directions to “ KRISTINE B RAND LCSW” Practice Location

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