Provider Information for 1508301375
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GAIL CONNER LCSW
Sex: Female
NPI: 1508301375
Last Updated: 2021-07-15
Certification Date: 2021-07-15
Certification Date: 2021-07-15
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1508301375 | ||||||||
| Enumeration Date | 2017-01-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 22 GRANDVIEW DR WAYNESBORO, VA 22980-7416 United States Phone: 540-241-2082 | Fax: | ||||||||
| Primary Practice Address | 302 N 2ND ST BRIDGEWATER, VA 22812-1712 United States Phone: 540-828-2681 | Fax:540-828-3831 | ||||||||
| Secondary Practice Address(es) | 22 GRANDVIEW DR | ||||||||
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