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Individual

MISS KIM MARIE AQUINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
77 NEALY AVE, 633 MDOS/SGOW, HAMPTON, VA 23665
(757) 764-6840
Mailing address
77 NEALY AVE, 633 MDOS/SGOW, HAMPTON, VA 23665
(757) 764-6840

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904008697
VA
1041C0700X
Clinical Social Worker
Primary
LW 00006910
WA

Other

Enumeration date
11/29/2006
Last updated
03/22/2016
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