Individual
COREY CRUPPENINK-LEGERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
5201 CHESDIN RD, NORTH DINWIDDIE, VA 23803-8129
(804) 712-4029
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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