| Dean Vines Enterprises | |
|
703 Thimble Shoals Blvd A-3 Newport News VA 23606-2576 | |
| (757) 873-2307 | |
| Not Available |
| Full Name | Dean Vines Enterprises |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 703 Thimble Shoals Blvd, Newport News, Virginia |
| Authorized Official Name and Position | Freddie Dean Vines (PRESIDENT) |
| Authorized Official Contact | 7578732307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dean Vines Enterprises 703 Thimble Shoals Blvd A-3 Newport News VA 23606-2576 Ph: (757) 873-2307 | Dean Vines Enterprises 703 Thimble Shoals Blvd A-3 Newport News VA 23606-2576 Ph: (757) 873-2307 |
| NPI Number | 1275502106 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275502106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904002078 (Virginia) | Primary |
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