Individual
IRENE MOLYNEUX TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7864 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009-3056
(804) 535-0145
(804) 727-8580
Mailing address
7864 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009-3056
(804) 535-0145
(804) 727-8580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003725
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167235
MAMSI
VA
05
—
3001529971
—
VA
01
—
466168
ANTHEM
VA
01
—
4945131
VIRGINIA PREMIER
VA
01
—
588121-000
MAGELLAN
VA
01
—
O81421
OPTIMA
VA
Enumeration date
02/09/2007
Last updated
11/08/2024
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