Individual
MR. DAVID T TIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LLC
Contact information
Practice address
9413 HULL STREET RD, SUITE C4, N. CHESTERFIELD, VA 23236-1246
(804) 339-7553
(804) 745-4742
Mailing address
9413 HULL STREET ROAD, SUITE C4, N. CHESTERFIELD, VA 23236
(804) 339-7553
(804) 745-4742
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
09040000857
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008952485
—
VA
Enumeration date
07/01/2006
Last updated
07/22/2015
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