Individual
LISA D MULLENS-JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3817 CHAMBERLAYNE AVE, RICHMOND, VA 23227-4139
(804) 780-8193
Mailing address
8408 RIDGE RD, RICHMOND, VA 23229-7210
(804) 399-8767
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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