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Individual

DEBRA BETH BERNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580
Mailing address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000915
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085678
SENTARA
01
110303
ANTHEM
Enumeration date
02/07/2007
Last updated
07/08/2007
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