Individual
MR. KENT PAUL RADWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9403 POCOHONTAS TRAIL, PROVIDENCE FORGE, VA 23140
(804) 966-5959
Mailing address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002086
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088888
SENTARA
VA
01
—
177161
ANTHEM
VA
01
—
4945131
VIRGINIA PREMIER
VA
Enumeration date
10/30/2006
Last updated
06/23/2009
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