Individual
GAYLE M CRUTCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1891 BILLINGSGATE CIR STE D, RICHMOND, VA 23238-4242
(804) 750-2105
(804) 750-2179
Mailing address
1891 BILLINGSGATE CIR STE D, RICHMOND, VA 23238-4242
(804) 750-2105
(804) 750-2179
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001772
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-0684-0
—
VA
Enumeration date
10/20/2006
Last updated
07/08/2007
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