Individual
ANNA CECELIA DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
6440 THOMAS JEFFERSON PKWY, PALMYRA, VA 22963-6216
(434) 591-1506
Mailing address
6440 THOMAS JEFFERSON PKWY, PALMYRA, VA 22963-6216
(434) 591-1506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002498
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84543
SENTARA
VA
05
—
89-0769-2
—
VA
Enumeration date
07/31/2006
Last updated
07/09/2007
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