Individual
MRS. DESIREE DEVONNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3568 LADD AVE, NORFOLK, VA 23502-4217
(757) 214-2934
Mailing address
4303 CAPPAHOSIC RD, GLOUCESTER, VA 23061-3300
(757) 214-2934
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014843
VA
Other
Enumeration date
09/22/2020
Last updated
01/28/2023
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