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Individual

PHILANA T JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
100 EMANCIPATION DR, BUILDING 71 ROOM 222, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
100 EMANCIPATION DR BLDG 137, HAMPTON, VA 23667-0001
(757) 722-9961

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
0904010915
VA
104100000X
Social Worker
9236
KS
2865M2000X
Military General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0904010915
LICENSE NUMBER
VA
Enumeration date
02/11/2016
Last updated
02/26/2019
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