Individual
JENNIFER HEATH BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
419 DIXIE DR, NORFOLK, VA 23505-1556
(757) 667-1563
Mailing address
419 DIXIE DR, NORFOLK, VA 23505-1556
(757) 667-1563
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017236
VA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/11/2024
Last updated
09/17/2024
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