Individual
EBONY SHANAY CANADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 KINGSLEY LN, SUITE 210, NORFOLK, VA 23505-4614
(757) 398-2374
Mailing address
110 KINGSLEY LN, SUITE 210, NORFOLK, VA 23505-4614
(757) 398-2374
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009248
VA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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