Individual
JACQUELINE M. OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1200 W WASHINGTON ST, PETERSBURG, VA 23803-3923
(804) 862-1104
(804) 862-1015
Mailing address
1200 W WASHINGTON ST, PETERSBURG, VA 23803-3923
(804) 862-1104
(804) 862-1015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC301671
DC
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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