Individual
MARY ANN BAILEY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
505 S INDEPENDENCE BLVD, STE 207, VIRGINIA BEACH, VA 23452-1150
(757) 497-4965
(757) 497-4197
Mailing address
505 S INDEPENDENCE BLVD, STE 207, VIRGINIA BEACH, VA 23452-1150
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904003282
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000809
VALUE OPTIONS
—
01
—
055499
ANTHEM BLUE CROSS
—
01
—
344120
TRICARE
—
Enumeration date
09/26/2006
Last updated
01/29/2008
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