Individual
SUE MAIDA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
703 THIMBLE SHOALS BLVD, A-3, NEWPORT NEWS, VA 23606-2576
(757) 873-2307
Mailing address
4 KATIES CIR, NEWPORT NEWS, VA 23606-2154
(757) 596-7755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701000833
VA
Other
Enumeration date
11/05/2005
Last updated
07/08/2007
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