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Individual

MRS. DEBORAH K WRINKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.S.W

Contact information

Practice address
9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-4162
(804) 695-8119
(804) 695-8122
Mailing address
9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-4162
(804) 695-8119
(804) 695-8122

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007233
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1497717615
VA PREMIER
VA
05
1497717615
VA
01
294721
VALUE OPTIONS
VA
Enumeration date
10/30/2009
Last updated
10/30/2009
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