Provider Information for 1558548651
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Mrs. GLINDA VANESSA O'NEILL LCSW
Other Names:Former Name:Ms. GLINDA VANESSA JONES LCSWSex: Female
NPI: 1558548651
Last Updated: 2020-07-06
Certification Date: 2020-07-06
Certification Date: 2020-07-06
Details
| Name | Value | ||||||||||||||||
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| NPI | 1558548651 | ||||||||||||||||
| Enumeration Date | 2008-01-31 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 3300 ACADEMY AVENUE PORTSMOUTH, VA 23703-3205 United States Phone: 757-483-6404 | Fax:757-483-0737 | ||||||||||||||||
| Primary Practice Address | 3300 ACADEMY AVENUE PORTSMOUTH, VA 23703-3205 United States Phone: 757-483-6404 | Fax:757-483-0737 | ||||||||||||||||
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