Individual
MS. KAREN REYNOLDS GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CT
Contact information
Practice address
2025 E MAIN ST STE 200, RICHMOND, VA 23223-7073
(804) 909-0123
Mailing address
4210 CREIGHTON RD, RICHMOND, VA 23223-2250
(804) 909-0123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004537
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11526152
CAQH
VA
Enumeration date
04/08/2011
Last updated
08/27/2024
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