Individual
KEVIN D. MASKREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
930 REDGATE AVE, NORFOLK, VA 23507-1518
(757) 626-3733
(757) 626-3331
Mailing address
930 REDGATE AVE, NORFOLK, VA 23507-1518
(757) 626-3733
(757) 626-3331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006262
VA
Other
Enumeration date
02/11/2009
Last updated
08/07/2009
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