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Individual

MR. ALEXANDER TAYLOR LEVERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
9020 STONY POINT PKWY, STE 240, RICHMOND, VA 23235
(804) 282-5236
(804) 282-5547
Mailing address
9020 STONY POINT PKWY, STE 240, RICHMOND, VA 23235
(804) 282-5236
(804) 282-5547

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004547
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
089781
SENTARA
05
1780679027
VA
01
306836
BC/BS
VA
01
507248
VALUE OPTION
VA
Enumeration date
09/13/2005
Last updated
01/18/2013
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