Individual
KELLY MARIE CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9157 ATLEE RD STE A, MECHANICSVILLE, VA 23116-2504
(804) 937-5344
(844) 236-4057
Mailing address
9157 ATLEE ROAD SUITE A, MECHANICSVILLE, VA 23116-2504
(804) 482-1403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009598
VA
Other
Enumeration date
01/26/2017
Last updated
09/10/2018
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