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Organization
WESTERN TIDEWATER COMMUNITY SERVICES BOARD
Active
Organization
WESTERN TIDEWATER COMMUNITY SERVICES BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY BOWE HUGHES LCSW (CLINICIAN)
(757) 255-7113
Entity
Organization
Contact information
Practice address
5268 GODWIN BLVD, SUFFOLK, VA 23434-8135
(757) 255-7100
Mailing address
5268 GODWIN BLVD, SUFFOLK, VA 23434-8135
(757) 255-7100
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
0904002622
VA
Other
Enumeration date
08/31/2005
Last updated
08/22/2020
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