Individual
MRS. CAROLYN GORMAN KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1512 WILLOW LAWN DR, RICHMOND, VA 23230-3117
(804) 285-5900
(804) 285-9130
Mailing address
1512 WILLOW LAWN DR, RICHMOND, VA 23230-3117
(804) 285-5900
(804) 285-9130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904004648
VA
1041C0700X
Clinical Social Worker
0904004648
VA
Other
Enumeration date
03/13/2007
Last updated
02/24/2011
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