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Individual

ELLEN RUTH MORIARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
600 MEDICAL DR, SUITE A, HAMPTON, VA 23666-1769
(757) 788-0600
(757) 788-0932
Mailing address
300 MEDICAL DR, 2ND FLOOR, HAMPTON, VA 23666-1765
(757) 788-0300
(757) 788-0969

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005415
VA

Other

Enumeration date
08/29/2006
Last updated
09/20/2011
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