Individual
MRS. EMILY LUCETTA JOAN BETTENDORF RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 CORPORATE WOODS DR STE 400, VIRGINIA BEACH, VA 23462-4429
(757) 459-4640
Mailing address
5000 CORPORATE WOODS DR STE 400, VIRGINIA BEACH, VA 23462-4429
(757) 459-4640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011465
VA
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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