# J MARK OSHEA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720237266
- **Authorized official:** J. MARK O'SHEA (LCSW)
- **Authorized official phone:** (804) 744-5611

## Contact information

- **Practice address:** 4906 MILLRIDGE PKWY E, MIDLOTHIAN, VA 23112-4828
- **Practice address phone:** (804) 744-5611
- **Practice address fax:** (804) 739-1691
- **Mailing address:** 4906 MILLRIDGE PKWY E, MIDLOTHIAN, VA 23112-4828
- **Mailing address phone:** (804) 744-5611
- **Mailing address fax:** (804) 739-1691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904001638 | VA | Yes |

## Other

- **Enumeration date:** 09/09/2008
- **Last updated:** 09/09/2008