Individual
ANTOINETTE MCGEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BROAD ROCK BLVD, G&EC 181, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
G01088
MD
1041C0700X
Clinical Social Worker
Primary
0904007176
VA
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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