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9513 Hull Street Rd Ste A North Chesterfield VA 23236-1495 | |
| (804) 608-9389 | |
| (804) 763-3453 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9513 Hull Street Rd Ste A, North Chesterfield, Virginia |
| Authorized Official Name and Position | Jennifer Ann Kell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8046089389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 4504 Midlothian VA 23112-0010 Ph: (804) 399-1993 | 9513 Hull Street Rd Ste A North Chesterfield VA 23236-1495 Ph: (804) 608-9389 |
| NPI Number | 1194030874 |
|---|---|
| Provider Enumeration Date | 08/18/2010 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194030874 | NPI | - | NPPES |
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