Individual
MISS KELSIE FAITH UTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4906 RADFORD AVE, RICHMOND, VA 23230-3512
(804) 354-5532
(804) 354-5516
Mailing address
3141 ELLWOOD AVE, RICHMOND, VA 23221-2922
(540) 539-8290
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014363
VA
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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