Organization
LAURA BRIGHTON, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM RICHARDSON (CREDENTIALING)
(757) 907-2567
Entity
Organization
Contact information
Practice address
913 FIRST COLONIAL RD STE 204, VIRGINIA BEACH, VA 23454-3198
(757) 622-7017
(757) 640-8402
Mailing address
913 FIRST COLONIAL RD STE 204, VIRGINIA BEACH, VA 23454-3198
(757) 622-7017
(757) 640-8402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904002453
LICENSE
VA
Enumeration date
03/24/2021
Last updated
03/24/2021
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