Individual
KRISTY NICOLE JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 ROYAL ST, RICHLANDS, VA 24641-2822
(276) 701-4586
Mailing address
120 ROYAL ST, RICHLANDS, VA 24641-2822
(276) 701-4586
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014104
VA
Other
Enumeration date
06/22/2022
Last updated
06/24/2022
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