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Individual

HANNAH SPANIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
301 FORT LN, PORTSMOUTH, VA 23704-2221
(757) 391-5950
Mailing address
2021 DAWNEE BROOK TRL N, CHESAPEAKE, VA 23320-7499
(859) 583-5570

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
0701006713
VA

Other

Enumeration date
09/28/2016
Last updated
09/28/2016
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