Individual
KEVIN R BIRDSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5352 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(804) 592-2793
(804) 592-2794
Mailing address
5352 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(804) 592-2793
(804) 592-2794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005961
VA
Other
Enumeration date
07/26/2006
Last updated
05/13/2015
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