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Individual
MONIQUE REGINA PRESTON
Active
Individual
MONIQUE REGINA PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0903002398
VA
1041C0700X
Clinical Social Worker
0904013001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904013001
CLINICAL SOCIAL WORK LICENSE
VA
Enumeration date
06/11/2021
Last updated
08/15/2023
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