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Individual

ERICA JANE CANADAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3900 LLEWELLYN AVE, NORFOLK, VA 23504-1203
(888) 365-6271
Mailing address
4787 DARBY CT, VIRGINIA BEACH, VA 23464-3039
(757) 335-1023

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011198
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0904011198
LCSW
VA
Enumeration date
08/27/2019
Last updated
04/04/2022
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