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Individual

DIANE STEPHENS-SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CSAC

Contact information

Practice address
12 BRAEMAR DR, HAMPTON, VA 23669-3706
(757) 344-6210
(855) 612-7072
Mailing address
PO BOX 9364, HAMPTON, VA 23670-0364
(757) 344-6210
(855) 612-7072

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010206
VA
343900000X
Non-emergency Medical Transport (VAN)
S5603479
VA

Other

Enumeration date
02/10/2016
Last updated
10/14/2024
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