| Diane Hicks Brown, Llc | |
|
530 Southlake Blvd Ste A North Chesterfield VA 23236-3067 | |
| (804) 379-0400 | |
| (804) 414-7736 |
| Full Name | Diane Hicks Brown, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 530 Southlake Blvd Ste A, North Chesterfield, Virginia |
| Authorized Official Name and Position | Diane Brown (EMPLOYEE) |
| Authorized Official Contact | 8045394984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Hicks Brown, Llc 2106 Rosewood Ave Richmond VA 23220-5823 Ph: (804) 539-4984 | Diane Hicks Brown, Llc 530 Southlake Blvd Ste A North Chesterfield VA 23236-3067 Ph: (804) 379-0400 |
| NPI Number | 1215657747 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 09/02/2022 |
| Certification Date | 09/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215657747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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