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Individual

MS. ELLEN MICHELLE THURMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1805 MONUMENT AVE, SUITE 611, RICHMOND, VA 23220-7005
(804) 355-9322
Mailing address
1805 MONUMENT AVE, SUITE 611, RICHMOND, VA 23220-7005
(804) 355-9322

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001563
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8928371
VA
Enumeration date
07/12/2006
Last updated
07/08/2007
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