Notoriety, LLC

NPI #1033539820 in Richmond, Virginia

Provider Information

NPI Number: 1033539820
Entity Type: Organization
Organization Name: Notoriety, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 21, 2014
Last Updated: Apr 21, 2014

Practice Location

Address: 715 E 4TH ST # F28
City: Richmond
State: Virginia
ZIP Code: 23224-5559
Phone: (804) 901-6928

Authorized Official

Name: TRINA BERNNADETTE DAVIS-FORTUNE, LCSW
Title: OWNER
Phone: (804) 901-6928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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