Individual
MS. KRISTINE V MADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1601 WILLOW LAWN DRIVE STE 304, THE SHOPS AT WILLOW LAWN #1049, RICHMOND, VA 23230-3423
(804) 803-3306
Mailing address
1601 WILLOW LAWN DRIVE STE 304, THE SHOPS AT WILLOW LAWN #1049, RICHMOND, VA 23230-3423
(804) 803-3306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011533
VA
Other
Enumeration date
03/11/2020
Last updated
06/17/2024
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