Individual
MRS. DAWN MICHELLE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6603 IRONGATE SQUARE, CHESTERFIELD FAMILY GUIDANCE CENTER, RICHMOND, VA 23234-6076
(804) 743-0960
(804) 743-1175
Mailing address
6603 IRONGATE SQUARE, CHESTERFIELD FAMILY GUIDANCE CENTER, RICHMOND, VA 23234-6076
(804) 743-0960
(804) 743-1175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005771
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082181M
SENTARA
—
01
—
172421
ANTHEM
—
Enumeration date
08/04/2006
Last updated
07/08/2007
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