| Magnolia Family Services, Llc | |
|
2514 N Dearing St Alexandria VA 22302-1807 | |
| (571) 882-1879 | |
| Not Available |
| Full Name | Magnolia Family Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2514 N Dearing St, Alexandria, Virginia |
| Authorized Official Name and Position | Susan E Tirella (OWNER/DIRECTOR) |
| Authorized Official Contact | 5718821879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Services, Llc 2514 N Dearing St Alexandria VA 22302-1807 Ph: (571) 882-1879 | Magnolia Family Services, Llc 2514 N Dearing St Alexandria VA 22302-1807 Ph: (571) 882-1879 |
| NPI Number | 1508249400 |
|---|---|
| Provider Enumeration Date | 07/09/2015 |
| Last Update Date | 07/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508249400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0133000432 (Virginia) | Primary |
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