Individual
KIMBERLY K GIANCASPRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
720 MOOREFIELD PARK DR, SUITE 202, RICHMOND, VA 23236-3657
(804) 272-7611
(804) 560-5574
Mailing address
720 MOOREFIELD PARK DR, SUITE 202, RICHMOND, VA 23236-3657
(804) 272-7611
(804) 560-5574
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007053
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437399151
—
VA
Enumeration date
02/21/2009
Last updated
02/12/2010
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