Individual
KASANDRA CLARKE-REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
PO BOX 10775, NORFOLK, VA 23513-0775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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