Individual
MRS. KRISTEN MCGRAW CONDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 MEDICAL DR, SUITE A, HAMPTON, VA 23666-1763
(757) 788-0200
(757) 788-0950
Mailing address
300 MEDICAL DR, 2ND FLOOR, HAMPTON, VA 23666-1765
(757) 788-0300
(757) 788-0969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005362
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945573
—
VA
01
—
CO3714
MEDICARE
VA
Enumeration date
10/19/2007
Last updated
04/10/2012
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