Individual
MRS. JESSICA BLAIR KNOTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2004 BREMO RD, RICHMOND, VA 23226-2442
(540) 219-4184
Mailing address
5404 TACOMA ST, RICHMOND, VA 23230-2114
(540) 219-4184
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010408
VA
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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