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Individual

MS. JANET V. MARVEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
200 CITY HALL AVE., # E, POQUOSON, VA 23662
(757) 868-0072
Mailing address
3505 BAYSIDE AVE, NORFOLK, VA 23518-1417
(757) 362-0394

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005956
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010122538
VA
01
083246M
SENTARA
VA
01
178329
ANTHEM BLUE CROSS
VA
01
245629
COMM PSYCH
VA
01
353122
MENTAL HEALTH NETWORK
VA
Enumeration date
05/23/2007
Last updated
03/21/2012
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