Provider Information for 1386746899
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LYNN PATRICIA ANDERSON LCSW
Sex: Female
NPI: 1386746899
Last Updated: 2009-01-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1386746899 | ||||||||
| Enumeration Date | 2006-09-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 812 W 44TH ST RICHMOND, VA 23225-4623 United States Phone: 804-405-3170 | Fax: | ||||||||
| Primary Practice Address | 812 W 44TH ST RICHMOND, VA 23225-4623 United States Phone: 804-405-3170 | Fax: | ||||||||
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