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Individual

MS. CAROLINE G SLONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
107 POPLAR LN, PORTSMOUTH, VA 23701-1127
(757) 646-6431
Mailing address
107 POPLAR LN, PORTSMOUTH, VA 23701-1127
(757) 646-6431

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003047
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
083109
SENTARA/OPTIMA
VA
01
143683
ANTHEM TRIGON
VA
01
238962
MAMSI UNITED HEALTHCARE
VA
01
254613000
MAGELLEAN
VA
Enumeration date
09/12/2005
Last updated
12/08/2016
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