Individual
MR. KEITH VINCENT POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
7928 14TH ST, NORFOLK, VA 23505-1219
(757) 322-9155
Mailing address
1223 SIR GEORGE CIR, VIRGINIA BEACH, VA 23452-4623
(757) 486-8650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002309
VA
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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