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Individual

MRS. JULIA DAVIS PATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, RPT

Contact information

Practice address
200 N 22ND ST, RICHMOND, VA 23223-7020
(804) 644-9590
Mailing address
200 N 22ND ST, RICHMOND, VA 23223-7020
(804) 644-9590

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001458
VA

Other

Enumeration date
11/15/2017
Last updated
11/15/2017
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