Individual
MRS. KHIDHRA SMITH POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2025 EAST MAIN STREET, SUITE 202, RICHMOND, VA 23223
(804) 225-0749
(804) 225-0753
Mailing address
2025 EAST MAIN STREET, SUITE 202, RICHMOND, VA 23223
(804) 225-0749
(804) 225-0753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007802
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437429677
—
VA
Enumeration date
01/05/2012
Last updated
07/31/2025
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