Individual
JONATHAN GOLDWIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1838 IVYSTONE DR, HENRICO, VA 23238-4232
(804) 366-2539
Mailing address
1838 IVYSTONE DR, HENRICO, VA 23238-4232
(804) 366-2539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015763
VA
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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