Individual
BRIAN CHIZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3900 W BROAD ST, RICHMOND, VA 23230-3914
(804) 239-1054
Mailing address
3900 W BROAD ST, RICHMOND, VA 23230-3914
(804) 239-1054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005585
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010112656
—
VA
Enumeration date
10/25/2006
Last updated
03/09/2023
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