Individual
DANI VEDROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 COLLEY AVE D, NORFOLK, VA 23517-1677
(757) 472-5245
(757) 622-3944
Mailing address
716 WESTOVER AVE, NORFOLK, VA 23507-1623
(757) 288-9741
(757) 622-3944
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002884
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009999124
—
VA
Enumeration date
10/04/2006
Last updated
10/23/2015
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