Individual
LAWRENCE SIDBURY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6946 FOREST HILL AVE, RICHMOND, VA 23225-1606
(804) 482-0274
Mailing address
10575 BENT TREE VW, JOHNS CREEK, GA 30097-5988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8248-07-006
VA
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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