NPI Index

MS. SHA-RON HADDOCK, LCSW

Social Worker - Clinical

Active Individual
NPI: 1417919895

Practice Address

100 EMANCIPATION DR
BLDG 137; 2 SOUTH (116A)
Hampton, VA 23667

Phone: (757) 722-9961

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 0904003507 (VA)

Frequently Asked Questions

NPI 1417919895 is the National Provider Identifier for MS. SHA-RON HADDOCK, LCSW, a Social Worker - Clinical provider located in Hampton, VA. This NPI was enumerated on April 3, 2006.
MS. SHA-RON HADDOCK, LCSW practices at 100 EMANCIPATION DR, BLDG 137; 2 SOUTH (116A), Hampton, VA 23667.

Quick Facts

NPI
1417919895
Type
Individual
Enumerated
Apr 3, 2006
Last Updated
Jul 8, 2007

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