Individual
DIANE KEYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
735 BELLOWS WAY, APARTMENT 302, NEWPORT NEWS, VA 23602
(757) 927-0998
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007476
VA
1041S0200X
School Social Worker
09-511619
VA
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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