Individual
MRS. BRENDA MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1201 BROAD ROCK BLVD, ATTN: SOCIAL WORK DEPT, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-6524
Mailing address
1201 BROAD ROCK BLVD, ATTN: SOCIAL WORK DEPT, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-6524
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006617
VA
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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