Individual
LASHAY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 HOPE RD, STAFFORD, VA 22554-7287
(540) 225-1020
Mailing address
59 WELLSPRING DR, FREDERICKSBURG, VA 22405-2938
(540) 395-9928
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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