Individual
BLAIR FINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2117 WEST MAIN STREET, RICHMOND, VA 23220
(757) 714-0910
Mailing address
2523 A STUART AVE, RICHMOND, VA 23220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009716
VA
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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