Individual
CHRIS CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2117 W MAIN ST, RICHMOND, VA 23220-4527
(804) 651-3941
Mailing address
2117 W MAIN ST, RICHMOND, VA 23220-4527
(804) 651-3941
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006939
VA
Other
Enumeration date
10/19/2008
Last updated
10/19/2008
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