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Individual

ALEXANDRIA WALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
350 POPLAR DR, PETERSBURG, VA 23805-9367
(804) 733-6874
Mailing address
320 MOORMAN AVE, COLONIAL HEIGHTS, VA 23834-3130
(804) 896-1767

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013036
VA

Other

Enumeration date
06/22/2021
Last updated
06/22/2021
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