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Individual

MR. JEFFREY GRAHAM KAIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
3640 HIGH ST STE 3B, PORTSMOUTH, VA 23707-3213
(757) 397-6344
(757) 606-1185
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 397-6344
(757) 606-1185

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006711
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1831360122
MAGELLAN HEALTH
VA
05
1831360122
VA
01
1834360122
AETNA BEHAVIORAL HEALTH
VA
Enumeration date
03/14/2008
Last updated
03/19/2018
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