Individual
ELIZABETH GAYLE MTCASTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5700 W GRACE ST STE 105A, RICHMOND, VA 23226-1834
(757) 869-4214
Mailing address
107 TYNDALL DR, NEWPORT NEWS, VA 23606-1474
(757) 869-4214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011011
VA
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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