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Individual

ANNE CHISMAN ABRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
110 KINGSLEY LN, SUITE 401, NORFOLK, VA 23505-4614
(757) 489-4700
(757) 489-0240
Mailing address
110 KINGSLEY LN, SUITE 401, NORFOLK, VA 23505-4614
(757) 489-4700
(757) 489-0240

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008314
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO2798
GROUP MEDICARE
VA
Enumeration date
11/04/2013
Last updated
01/31/2014
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