Individual
CHERYL KABANA-ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
753 THIMBLE SHOALS BLVD, SUITE 2A, NEWPORT NEWS, VA 23606-3564
(757) 594-9701
(757) 594-9830
Mailing address
753 THIMBLE SHOALS BLVD, SUITE 2A, NEWPORT NEWS, VA 23606-3564
(757) 594-9701
(757) 594-9830
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001690
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8927090
—
VA
Enumeration date
07/30/2006
Last updated
07/08/2007
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