Individual
CIERA MARIE LYNN CANADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4410 CLAIBORNE SQ E STE 211, HAMPTON, VA 23666-2071
(757) 977-0889
(757) 977-0895
Mailing address
46 WHEATLAND DR, HAMPTON, VA 23666-3532
(757) 968-2061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014060
VA
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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