Individual
MR. SAMUEL LEE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-4918
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-4918
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0903003152
VA
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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