Individual
BRENDA LEE DOREMUS-DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1222 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3410
(434) 924-1931
(434) 244-4451
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007265
VA
Other
Enumeration date
07/31/2012
Last updated
08/09/2023
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