Individual
GINA ANN CRICCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E BROAD ST, DEPT OF CARE COORDINATION, RICHMOND, VA 23298
(804) 221-0739
Mailing address
3450 W CLAY ST APT 618R, RICHMOND, VA 23230-4696
(410) 404-6737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013292
VA
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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