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Individual

LISA FAYE COWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
748 LORD DUNMORE DR, SUITE 107, VIRGINIA BEACH, VA 23464-2664
(619) 892-1379
(757) 486-3429
Mailing address
748 LORD DUNMORE DR, SUITE 107, VIRGINIA BEACH, VA 23464-2664
(619) 892-1379
(757) 486-3429

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904004802
VA

Other

Enumeration date
07/31/2007
Last updated
10/30/2012
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