Individual
JAMIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1700 HUGUENOT RD, MIDLOTHIAN, VA 23113-2397
(804) 339-6686
Mailing address
11637 SMOKETREE DR, NORTH CHESTERFIELD, VA 23236-2531
(804) 339-6686
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008578
VA
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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