NPI 1003132135

Charon Dubose, LCSW

Practitioner Clinical Social Worker Hampton, VA

Practice location

Address: 2244 Executive Dr, Hampton, VA 23666-2430
Phone: (757) 827-1001
Mailing address: 211 Larissa Dr, Newport News, VA 23601-1426

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 0904007288 (VA)

Other Social Worker providers in Virginia →

Registry record

NPI: 1003132135
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2010
Record last updated: 14 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.