Individual
MS. DEIRDRE ANN STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1241 N MAIN ST, HARRISONBURG, VA 22802
(540) 434-1941
(540) 433-8277
Mailing address
1241 N MAIN ST, HARRISONBURG, VA 22802
(540) 434-1941
(540) 433-8277
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003868
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945166
—
VA
01
—
248828
ANTHEM
VA
01
—
O802775M
SENTARA
VA
Enumeration date
11/29/2006
Last updated
02/07/2008
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