Individual
LATENYA MONIQUE WITCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9407 CUMBERLAND ROAD, NEW KENT, VA 23124-2029
(804) 966-2242
(804) 966-5639
Mailing address
9407 CUMBERLAND ROAD, NEW KENT, VA 23124-2029
(804) 966-2242
(804) 966-5639
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006751
VA
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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