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Organization
WAVES PSYCHOTHERAPY SERVICES PC
Active
Organization
WAVES PSYCHOTHERAPY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER BOYNTON L.C.S.W. (PRESIDENT)
(757) 288-1611
Entity
Organization
Contact information
Practice address
923 FIRST COLONIAL RD STE 1817, VIRGINIA BEACH, VA 23454-3182
(757) 288-1611
Mailing address
727 DELAWARE AVE, VIRGINIA BEACH, VA 23451-4624
(757) 288-1611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904004822
VA
1041C0700X
Clinical Social Worker
Primary
0904004844
VA
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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