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Individual

MS. DEBRA L. BERRYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2087 LAWRENCEVILLE PLANK ROAD, LAWRENCEVILLE, VA 23868
(434) 848-4121
(434) 848-4148
Mailing address
PO BOX 488, SOUTH BOSTON, VA 24592-0488
(434) 848-4121
(434) 572-4881

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005542
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700890761
VA
01
466127
ANTHEM
VA
01
466131
ANTHEM - MECK
VA
01
466135
ANTHEM - HALIFAX
VA
01
O81326M
SENTARA
VA
Enumeration date
07/25/2006
Last updated
04/03/2008
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