Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 0904007776 | VA |
NPI | 1003258195 |
---|---|
Provider Name | Mrs. Tracey N Hemmings |
First Address | Mechanicsville, VA 23111-1443 |
Second Address | Mechanicsville, VA 23111-1443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2013 |
Last Update Date | 18/07/2013 |