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Individual

JENNIFER MINGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2101 EXECUTIVE DR, HAMPTON, VA 23666-2404
(201) 532-7578
Mailing address
2101 EXECUTIVE DR, HAMPTON, VA 23666-2404

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009005
VA

Other

Enumeration date
04/11/2017
Last updated
04/11/2017
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