Individual
GABRIELLE CAROLANN BEAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-6756
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0903003674
VA
1041C0700X
Clinical Social Worker
Primary
0904017951
VA
Other
Enumeration date
12/05/2022
Last updated
02/28/2025
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