Individual
COTY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-5254
(757) 668-8873
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-5254
(757) 668-8873
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010902
VA
Other
Enumeration date
02/06/2019
Last updated
02/11/2019
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