Individual
JULIE BIVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
520 ALLISON AVE SW, ROANOKE, VA 24016-4517
(804) 316-4113
(804) 210-2451
Mailing address
520 ALLISON AVE SW, ROANOKE, VA 24016-4517
(804) 316-4113
(804) 210-2451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010277
VA
Other
Enumeration date
06/23/2018
Last updated
10/04/2024
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