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Individual

MRS. KHALILAH SALAAM STAFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1613 BRAMWELL RD, RICHMOND, VA 23225-7803
(804) 939-0500
(804) 674-4731
Mailing address
1613 BRAMWELL RD, RICHMOND, VA 23225-7803
(804) 939-0500
(804) 674-4731

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
04/03/2016
Last updated
04/03/2016
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