Individual
MS. BRENDA L. GILMORE-HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N CENTER DR BLDG 3, 124, NORFOLK, VA 23502-4004
(757) 227-3072
(757) 227-3212
Mailing address
4423 PELICAN PT, NONE, PORTSMOUTH, VA 23703-5369
(757) 483-4255
(757) 466-0947
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004800
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010259223
—
VA
Enumeration date
12/19/2006
Last updated
05/14/2008
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