Individual
BRIAN MICHAEL MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9601 GAYTON RD, HENRICO, VA 23238-4963
(804) 464-8250
Mailing address
1407 PORTERS MILL TER, MIDLOTHIAN, VA 23114-1262
(352) 281-6887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010956
VA
Other
Enumeration date
08/18/2016
Last updated
06/11/2019
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