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Individual

CHARLES STUCKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2727 ENTERPRISE PKWY, RICHMOND, VA 23294-6341
(602) 451-2219
Mailing address
2727 ENTERPRISE PKWY, RICHMOND, VA 23294-6341

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017058
VA
106S00000X
Behavior Technician

Other

Enumeration date
08/09/2019
Last updated
07/15/2024
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