Provider Information for 1598193716
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Mrs. ATHALIA EASON LPC
Sex: Female
NPI: 1598193716
Last Updated: 2017-04-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1598193716 | ||||||||||||||||||||
| Enumeration Date | 2013-10-25 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 3329 BOURBON ST SUITE A FREDERICKSBURG, VA 22408-7348 United States Phone: 540-656-3662 | Fax:888-770-0014 | ||||||||||||||||||||
| Primary Practice Address | 3329 BOURBON ST SUITE A FREDERICKSBURG, VA 22408-7348 United States Phone: 540-656-3662 | Fax:888-770-0014 | ||||||||||||||||||||
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