Individual
MRS. DEBORAH PODOLNICK MEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
546 WALNUT GROVE DR, JARRATT, VA 23867-8611
(434) 637-3425
Mailing address
2504 BROOKFOREST CT, MIDLOTHIAN, VA 23112-3780
(804) 763-3766
(434) 637-6467
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003457
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010326508
—
VA
01
—
247133
BLUE CROSS
VA
Enumeration date
09/20/2006
Last updated
11/11/2008
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