Individual
JAMES KALEOLANI PULIDO TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5511 STAPLES MILL RD, RICHMOND, VA 23228-5445
(540) 446-7458
(804) 422-0207
Mailing address
5511 STAPLES MILL RD STE 102, RICHMOND, VA 23228-5445
(540) 446-7458
(804) 422-0207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010628
VA
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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