Individual
GWENDOLYN R. YARBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
480 MOUNT CROSS RD, DANVILLE, VA 24540-4000
(833) 510-4357
(866) 460-2997
Mailing address
291 PARK AVE, DANVILLE, VA 24541-4233
(434) 799-3310
(434) 799-3317
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904002370
VA
1041C0700X
Clinical Social Worker
0904002370
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010116546
—
VA
Enumeration date
07/14/2008
Last updated
04/22/2022
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