| Shaena Sampson-wiggins, Llc | |
|
2707 Faulkner Dr Chesapeake VA 23321-2249 | |
| (757) 515-9392 | |
| Not Available |
| Full Name | Shaena Sampson-wiggins, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2707 Faulkner Dr, Chesapeake, Virginia |
| Authorized Official Name and Position | Shaena Wiggins (CEO/THERAPIST) |
| Authorized Official Contact | 7575159392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaena Sampson-wiggins, Llc 2707 Faulkner Dr Chesapeake VA 23321-2249 Ph: (757) 515-9392 | Shaena Sampson-wiggins, Llc 2707 Faulkner Dr Chesapeake VA 23321-2249 Ph: (757) 515-9392 |
| NPI Number | 1699370031 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699370031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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