Individual
KASSANDRA RAE KINTZIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8310 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-5163
(804) 447-6382
(804) 447-6383
Mailing address
2410 GROVE AVE APT 3, RICHMOND, VA 23220-4481
(703) 300-2808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
VA
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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