Individual
MRS. BRENDA COLE LUNDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17201 JEFF. DAVIS HWY, COL. HGTS, VA 23834
(804) 526-0424
Mailing address
17201 JEFFERSON DAVIS HIGHWAY, COLONIAL HEIGHTS, VA 23834
(804) 526-0424
(804) 526-0748
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0904003631
VA
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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