Individual
MRS. JACQUELYN D GREEN-HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, MSW, LCSW-S
Contact information
Practice address
605 GRAYSON AVE, RICHMOND, VA 23222-1352
(804) 706-8491
Mailing address
605 GRAYSON AVE, RICHMOND, VA 23222-1352
(804) 706-8491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906015493
VA
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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