Individual
MR. KEVIN STEVEN CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5301 PROVIDENCE RD, SUITE 40, VIRGINIA BEACH, VA 23464-4128
(757) 418-4974
Mailing address
426 BLUE BEECH WAY, CHESAPEAKE, VA 23320-3811
(757) 418-4974
(757) 320-0282
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007199
VA
Other
Enumeration date
01/19/2010
Last updated
02/14/2017
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