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Individual

KRISTEN JEAN LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12093 GAYTON RD, RICHMOND, VA 23238-3401
(804) 205-3408
Mailing address
12093 GAYTON RD, RICHMOND, VA 23238-3401
(804) 205-3408

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010518
VA

Other

Enumeration date
11/07/2018
Last updated
11/07/2018
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