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Individual

CHRISTINA AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2004 BREMO RD STE 201, RICHMOND, VA 23226-2442
(804) 272-2000
(804) 272-2030
Mailing address
115 N LOMBARDY ST, RICHMOND, VA 23220-4611
(571) 241-6767

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010871
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0904010871
VA
Enumeration date
01/15/2019
Last updated
01/15/2019
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