Individual
GWENDOLYN LIGH BOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT, MSW, LCSW
Contact information
Practice address
1480 OAK BRIDGE CT, POWHATAN, VA 23139-8054
(804) 423-1389
(804) 423-1393
Mailing address
2742 FLOUR MILL DR, MIDLOTHIAN, VA 23112-4265
(804) 305-7091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006226
VA
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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