Individual
CAROLYN ETHERIDGE HARRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5322 STOKES LN, RICHMOND, VA 23226-1918
(804) 677-3866
Mailing address
PO BOX 4334, MIDLOTHIAN, VA 23112-0006
(804) 677-3866
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0812000066
VA
1041C0700X
Clinical Social Worker
Primary
0904002867
VA
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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