Individual
LARNEIL DELORIS VAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4301 E PARHAM RD, RICHMOND, VA 23273-0001
(804) 501-4580
(804) 501-5807
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
0904000734
VA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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