FRED RICHARD MIGNONE

CHRISTIANSBURG, VA
NPI1538131446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904005115)
Enumeration Date2006-02-03
Last Update Date2017-04-10
Business Address
-- FRED RICHARD MIGNONE LCSW
159 WALTERS DR
CHRISTIANSBURG, VA 24073-1041
Phone number: 540-381-3101
Mailing Address
-- FRED RICHARD MIGNONE LCSW
1715 GINGER LN
BLACKSBURG, VA 24060-2049
Phone number: 540-381-3101