Individual
GREGORY PODOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 THOMPSON ST STE E, ASHLAND, VA 23005-1527
(804) 867-7474
Mailing address
112 THOMPSON ST STE E, ASHLAND, VA 23005-1527
(804) 867-7474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904020165
VA
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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