Individual
JORDYN BEVERLY STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 CLAIBORNE SQ E STE 211, HAMPTON, VA 23666-2071
(757) 932-4078
Mailing address
4410 CLAIBORNE SQ E STE 211, HAMPTON, VA 23666-2071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017059
VA
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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