Individual
MS. DIANE RUTH MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3308 GARLAND AVE, SUITE 200, RICHMOND, VA 23222-2643
(804) 229-8416
Mailing address
3308 GARLAND AVE, RICHMOND, VA 23222-2643
(804) 229-8416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/30/2011
Last updated
12/09/2012
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