Tidewater Recovery, Plc

NPI #1396001855 in Urbanna, Virginia

Provider Information

NPI Number
1396001855
Entity Type
Organization
Organization Name
Tidewater Recovery, Plc
Primary Specialty
Social Worker - Clinical
Enumeration Date
Apr 9, 2012
Last Updated
Apr 9, 2012

Practice Location

Address
55 CROSS STREET
ZIP Code
23175
Phone
(804) 758-4242

Authorized Official

Name
MS. SUSAN G HALLETT, LCSW
Title
OWNER/THERAPIST
Phone
(804) 758-4242

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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