Organization
FAMILY ENRICHMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY MARTIN L.C.S.W. (SOLE PROPRIETER)
(804) 572-4000
Entity
Organization
Contact information
Practice address
5231 HICKORY PARK DR STE C, GLEN ALLEN, VA 23059-2619
(804) 572-4000
Mailing address
5231 HICKORY PARK DR STE C, GLEN ALLEN, VA 23059-2619
(804) 572-4000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007104
VA
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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