Individual
BRIAR WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW-SUPERVISE
Contact information
Practice address
5911 W BROAD ST, RICHMOND, VA 23230-2219
(804) 330-6441
Mailing address
8287 CARROLTON RIDGE PL, MECHANICSVILLE, VA 23111-6525
(804) 467-0888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906012909
VA
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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