Individual
GABRIELLE JORDAN-COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 E GRACE ST, RICHMOND, VA 23219-1741
(804) 677-7641
Mailing address
3013 E BROAD ST, RICHMOND, VA 23223-7428
(804) 677-7641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009016
VA
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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