Individual
MS. JACQUELYN DEBORAH MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSAC
Contact information
Practice address
HAMPTON VA MEDICAL CTR, 100 EMANCIPATION DR., HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
4545 GREENLAW DR, VIRGINIA BEACH, VA 23464-6328
(757) 467-2560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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