Individual
KARLISHA J LATTIBEAUDERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15941 DONALD CURTIS DR STE 200, WOODBRIDGE, VA 22191-4257
(703) 792-7800
(703) 792-5699
Mailing address
15941 DONALD CURTIS DR STE 200, WOODBRIDGE, VA 22191-4257
(703) 792-7800
(703) 792-5699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010988
VA
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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