Individual
ANITA HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 TURNER RD STE L, NORTH CHESTERFIELD, VA 23225-6432
(757) 744-9616
Mailing address
PO BOX 412, MIDLOTHIAN, VA 23113-0412
(757) 744-9616
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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