Individual
MS. CHARLEE B REDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Contact information
Practice address
100 EMANCIPATION DR, BLDG 137 MH/BS RM A-85, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
100 EMANCIPATION DR, BLDG 137 MH/BS RM A-85, HAMPTON, VA 23667-0001
(757) 722-9961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06433
IA
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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