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Individual

MRS. ANITA DIANNE HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4914 RADFORD AVE, STE 207, RICHMOND, VA 23230-3538
(804) 688-0225
(804) 355-0225
Mailing address
PO BOX 35395, RESOURCE GUIDANCE SERVICES INC, RICHMOND, VA 23235-0395
(804) 378-3364
(804) 378-2078

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904002774
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008924554
VA
05
008928169
VA
01
105618
BCBS
VA
01
179130
BCBS
VA
01
179174
BCBS
VA
01
187231
MHN
VA
01
229350
VALUEOPTIONS
VA
01
O86869
OPTIMA
VA
Enumeration date
11/09/2005
Last updated
05/26/2008
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