Organization
CHARTRICE THORNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARTRICE THORNE (SOLE PROPRIETOR)
(804) 370-7819
Entity
Organization
Contact information
Practice address
8527 MAYLAND DR, SUITE 103, HENRICO, VA 23294-4753
(804) 363-2583
(804) 510-0244
Mailing address
8527 MAYLAND DR, SUITE 103, HENRICO, VA 23294-4753
(804) 363-2583
(804) 510-0244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008871
VA
251S00000X
Community/Behavioral Health Agency
0904008871
VA
Other
Enumeration date
09/10/2015
Last updated
11/03/2016
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