Individual
DEBORAH LODATO-JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6353 CENTER DRIVE, SUITE 204, NORFOLK, VA 23502
(757) 461-3313
(757) 461-8363
Mailing address
6353 CENTER DRIVE, SUITE 204, NORFOLK, VA 23502
(757) 461-3313
(757) 461-8363
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904000502
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010295777
—
VA
01
—
196222
BCBS
—
Enumeration date
08/31/2006
Last updated
11/22/2011
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