Individual
GEORGE DESHAZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 N COURTHOUSE RD, NORTH CHESTERFIELD, VA 23236-4045
(804) 924-2236
(866) 626-4469
Mailing address
707 N COURTHOUSE RD, NORTH CHESTERFIELD, VA 23236-4045
(804) 924-2236
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000760
VA
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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