Individual
DESTINY RAIN SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9321 MIDLOTHIAN TPKE STE C, NORTH CHESTERFIELD, VA 23235-4941
(804) 252-4525
Mailing address
14916 BLUE ROCK DR, CHESTER, VA 23836-6160
(804) 549-2117
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904016176
VA
Other
Enumeration date
12/12/2023
Last updated
03/20/2024
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