Individual
JOHN SALAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 POPLAR DR, PETERSBURG, VA 23805-9367
(804) 733-6874
Mailing address
PO BOX 3060, PETERSBURG, VA 23805-3060
(804) 733-6874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005726
VA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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