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Waverly Dandridge

Case Manager/Care Coordinator in Glen Allen, VA. Individual provider (NPI-1).

NPI number1912374786
StatusActive
Last updated in NPPESAug 27, 2015

Details

NPI
1912374786
Entity type
Individual (NPI-1)
Name
Waverly Dandridge
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 27, 2015
Last updated
Aug 27, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator–VAYes

Practice location

3106 Mountain Rd
Glen Allen, VA 23060-2015

Phone 804-240-6252 · Fax 804-562-4411

Mailing address

3106 Mountain Rd
Glen Allen, VA 23060-2015

Phone 804-240-6252 · Fax 804-562-4411

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