Individual
MS. INGRID KIMBERLEE CHUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
6477 COLLEGE PARK SQ, SUITE 302, VIRGINIA BEACH, VA 23464-3611
(757) 424-0100
(757) 424-5623
Mailing address
6477 COLLEGE PARK SQ, SUITE 302, VIRGINIA BEACH, VA 23464-3611
(757) 424-0100
(757) 424-5623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000566
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8914729
—
VA
Enumeration date
08/17/2006
Last updated
07/09/2007
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