Individual
JEAN TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8249 CROWN COLONY PKWY, SUITE 200, MECHANICSVILLE, VA 23116-4057
(804) 789-1224
(804) 789-5964
Mailing address
8249 CROWN COLONY PKWY, SUITE 200, MECHANICSVILLE, VA 23116-4057
(804) 789-1224
(804) 789-5964
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007840
VA
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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