Individual
DOREEN C. WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5623 LAKESIDE AVE, RICHMOND, VA 23228-5720
(804) 264-1007
(804) 264-0984
Mailing address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001214
VA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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