Individual
CARRIE HARTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W., M.A.
Contact information
Practice address
1512 WILLOW LAWN DR, RICHMOND, VA 23230-3117
(804) 545-5918
Mailing address
3008 PATTERSON AVE, RICHMOND, VA 23221-1614
(804) 355-0047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005984
VA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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