Individual
MRS. CARLA BOJORQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
VCU TAPPAHANNOCK HOSPITAL, 618 HOSPITAL ROAD, TAPPAHANNOCK, VA 22560
(804) 443-5001
(804) 443-6161
Mailing address
102 ST CHARLES CT, AYLETT, VA 23009-4179
(804) 761-3681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011573
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
VA
Enumeration date
08/03/2021
Last updated
12/23/2024
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