Individual
MS. CHARON DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2244 EXECUTIVE DR, HAMPTON, VA 23666-2430
(757) 827-1001
Mailing address
211 LARISSA DR, NEWPORT NEWS, VA 23601-1426
(757) 952-5102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007288
VA
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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