Individual
KAITLIN JAKUBIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2116 W LABURNUM AVE, RICHMOND, VA 23227-4359
(804) 254-3500
Mailing address
2116 W LABURNUM AVE, RICHMOND, VA 23227-4359
(804) 254-3500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013030
VA
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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