Individual
MS. SUSAN ELIZABETH MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 VIKING DR, SUITE 200, VIRGINIA BEACH, VA 23452-7477
(757) 468-0550
(757) 468-9992
Mailing address
500 VIKING DR, SUITE 200, VIRGINIA BEACH, VA 23452-7477
(757) 468-0550
(757) 468-9992
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904006823
VA
Other
Enumeration date
06/17/2008
Last updated
04/23/2012
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