Individual
ASHLEY CHANTELLE BRICKHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
733 MARSHALL AVE, NORFOLK, VA 23504-3531
(757) 337-7396
Mailing address
733 MARSHALL AVE, NORFOLK, VA 23504-3531
(757) 337-7396
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
3900
VA
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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