Individual
JENNIE MARLENE CARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1525 HUGUENOT RD STE 100, MIDLOTHIAN, VA 23113-2438
(804) 924-7600
Mailing address
1525 HUGUENOT RD STE 100, MIDLOTHIAN, VA 23113-2438
(804) 924-7600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014732
VA
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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