Individual
BRENDA WORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 GLENDALE RD, GALAX, VA 24333-2208
(276) 236-1699
Mailing address
200 HOSPITAL DR, GALAX, VA 24333-2227
(276) 236-1699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003317
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010210593
—
VA
Enumeration date
06/13/2006
Last updated
08/24/2009
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