Individual
KINGA GUDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, PHD
Contact information
Practice address
129 W VIRGINIA BEACH BLVD STE 204A, NORFOLK, VA 23510-2030
(757) 319-5416
(757) 918-8760
Mailing address
1146 ROCKBRIDGE AVE, NORFOLK, VA 23508-1418
(757) 319-5416
(757) 918-8760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007315
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508187881
—
VA
Enumeration date
06/21/2010
Last updated
09/01/2017
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