Garry Benjamin Spain, LCSW
NPI #1457829749 in Gloucester, Virginia
Provider Information
- NPI Number
- 1457829749
- Entity Type
- Individual
- Name
- Garry Benjamin Spain, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Nov 5, 2018
- Last Updated
- Nov 5, 2018
Practice Location
- Address
- 6565 WYSTERIA LN
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-3787
- Phone
- (804) 577-0439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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