Substance Abuse Professionals of Tidewater
Substance Abuse Professionals of Tidewater is a Clinical Social Worker in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2016.
- Licensed in
- VA
- In the registry since
- 2016
Practice location Address checks out
2940 N Lynnhaven Rd Ste 130Virginia Beach, VA 23452-6949
Phone: (757) 636-9187
Fax: (888) 785-9387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 0904000638 (VA) |
|---|
Record details
| NPI number | 1861942237 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Margaret Lidstrom — Manager · (757) 636-9187 |
| Other names | Peggy Lidstrom Lcsw |
| NPI enumerated | October 10, 2016 |
| Last updated in NPPES | November 14, 2016 |
| Mailing address | 2940 N Lynnhaven Rd Ste 130, Virginia Beach, VA 23452-6949 |
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