Individual
MR. GIDEON JAVNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
5511 STAPLES MILL RD, SUITE 300, RICHMOND, VA 23228-5445
(646) 256-5103
Mailing address
108 DUNDEE AVE, RICHMOND, VA 23225-4804
(646) 256-5103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009697
VA
Other
Enumeration date
11/28/2016
Last updated
11/30/2016
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