MS. Charon Dubose, LCSW

NPI #1003132135 in Hampton, Virginia

Provider Information

NPI Number: 1003132135
Entity Type: Individual
Name: MS. Charon Dubose, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 14, 2010
Last Updated: Apr 14, 2010

Practice Location

Address: 2244 EXECUTIVE DR
City: Hampton
State: Virginia
ZIP Code: 23666-2430
Phone: (757) 827-1001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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