Individual
JARVIS D LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 THIMBLE SHOALS BLVD # 403, NEWPORT NEWS, VA 23606-2573
(901) 672-2228
Mailing address
31 HARWOOD AVE, HAMPTON, VA 23664-1044
(901) 672-2228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013363
VA
Other
Enumeration date
09/27/2018
Last updated
04/09/2022
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