Individual
LAKEISHA DANIELLE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4505 BILTMORE DR NW, ROANOKE, VA 24017-1513
(540) 491-1552
Mailing address
4505 BILTMORE DR NW, ROANOKE, VA 24017-1513
(540) 491-1552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014204
VA
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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