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Individual

MR. KEVIN EDWARD GARNER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
515 STERNBERG AVE, USA MEDDAC ASAP, FORT EUSTIS, VA 23604
(757) 314-7551
(757) 314-7979
Mailing address
517 YORK RIVER LN, NEWPORT NEWS, VA 23602-4354
(757) 881-9030

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003170
VA

Other

Enumeration date
12/22/2005
Last updated
07/08/2007
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