Individual
JENNIFER HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
798 SOUTHPARK BOULAVARD, 16, COLONIAL HEIGHTS, VA 23834
(804) 647-6934
(804) 520-8007
Mailing address
5943 ELKO ROAD, SANDSTON, VA 23150
(804) 647-6934
(804) 520-8007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007361
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904007361
DEPARTMENT OF HEALTH PROFESSIONS - BOARD OF SOCIAL WORK
VA
Enumeration date
09/24/2010
Last updated
09/24/2010
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