Individual
BRENT ALAN SCHILDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 W BANK ST, PETERSBURG, VA 23803-3279
(804) 722-4299
Mailing address
20 W BANK ST STE 3, PETERSBURG, VA 23803-3279
(804) 731-3539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014069
VA
Other
Enumeration date
08/08/2022
Last updated
09/09/2022
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