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Individual

ELLEN WHITE HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2304 SINGINGWOODS LN, RICHMOND, VA 23233-2625
(804) 332-4282
Mailing address
2304 SINGINGWOODS LN, RICHMOND, VA 23233-2625
(804) 332-4282

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904009242
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104858653
VA
Enumeration date
07/06/2016
Last updated
09/15/2021
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