Organization
BETTY EASTMAN LCSW AND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY EASTMAN LCSW (PRESIDENT)
(757) 868-0072
Entity
Organization
Contact information
Practice address
200 CITY HALL AVE, SUITE E, POQUOSON, VA 23662-1985
(757) 868-0072
Mailing address
200 CITY HALL AVE, SUITE E, POQUOSON, VA 23662-1985
(757) 868-0072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004680
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
356288
BLUE CROSS BLUE SHIELD
VA
01
—
428878
TRICARE
VA
Enumeration date
05/13/2008
Last updated
12/02/2008
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