Most Relevant Information
Provider Data
| NPI Number: | 1003315722 |
| Provider Name: | PRISCILLA HELEN WITWER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 0904010301 |
Most Important Dates
| Enumeration Date: | 02/08/2018 |
| Last Updated: | 02/08/2018 |
Provider Practice Location
4825 S LABURNUM AVE
HENRICO
VA
232312713
Practice Location Phone/Fax
| Phone: | 8047278100 |
| Fax: | 8047278580 |
Provider Mailing Location
10299 WOODMAN RD
GLEN ALLEN
VA
230604419
Provider Mailing Phone/Fax
| Phone: | 8047278100 |
| Fax: | 8047278580 |