Individual
LAQUINA FULTON GARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8418 SHEPHERDS WATCH DR, CHESTERFIELD, VA 23832-7871
(804) 310-4783
Mailing address
PO BOX 74903, NORTH CHESTERFIELD, VA 23236-0016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008537
VA
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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