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Organization
GOOD GROUNDS LLC
Active
Organization
GOOD GROUNDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARQUITA RENEE DUDLEY LCSW-S (CEO)
(804) 888-2039
Entity
Organization
Contact information
Practice address
3076 HULL ST, RICHMOND, VA 23224-3574
(804) 888-2039
Mailing address
17285 PERINCHIEF ST, RUTHER GLEN, VA 22546-5807
(804) 728-7649
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
NULL
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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