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Individual

AVA HADES REALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
410 MAPLE AVE APT G, PEARISBURG, VA 24134-1759
(239) 961-0903
Mailing address
410 MAPLE AVE APT G, PEARISBURG, VA 24134-1759

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017577
VA
1041C0700X
Clinical Social Worker
44SC06591700
NJ
1041C0700X
Clinical Social Worker
LC200004408
DC
1041C0700X
Clinical Social Worker
Primary
SW15244
FL

Other

Enumeration date
05/08/2018
Last updated
07/01/2026
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