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Individual

JANELLE AMEZCUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 329-2433
Mailing address
220 LISBON DR, NEWPORT NEWS, VA 23601-1714
(757) 329-2433

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011982
VA

Other

Enumeration date
09/20/2022
Last updated
09/20/2022
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