Individual
JENNY HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7557
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7557
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P001365
NC
1041C0700X
Clinical Social Worker
C012270
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/03/2016
Last updated
06/11/2025
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