Individual
MARY HERBERT DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 CHILDRENS LN, 4TH FLOOR SOCIAL WORK DEPT., NORFOLK, VA 23507-1910
(757) 668-9350
(757) 668-7950
Mailing address
923 LARCHMONT CRES, NORFOLK, VA 23508-1401
(757) 489-7820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904002966
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140793
ANTHEM
VA
05
—
89-19755
—
VA
01
—
O86234
SENTARA
VA
01
—
PIN 343394
TRICARE
VA
Enumeration date
07/08/2006
Last updated
07/09/2007
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