Doctor Name: | O'DALE D LAWS |
NPI Number: | 1720432586 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 0904009344 |
Business Practice Address: | 7424 Brock Rd Spotsylvania, VA - 225532002 |
Business Phone Number: | 5405823980 |
Business Fax Number: | 5403713753 |
Mailing Address: | 7424 Brock Rd, P O Box 277 SPOTSYLVANIA |
State: | VA |
Postal Code: | 225532002 |
Phone Number: | 5405823980 |
Fax Number: | 5403713753 |
NPI Enumeration Date: | 04/19/2016 |
NPI Last Update Date: | 04/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904009344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |