Individual
MS. KEITHA MAUREEN AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, BCD
Contact information
Practice address
12725 MCMANUS BLVD, SUITE 2G, NEWPORT NEWS, VA 23602-4402
(757) 874-1676
(757) 874-2226
Mailing address
121 KEITH RD, NEWPORT NEWS, VA 23606-1109
(757) 223-1020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002555
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417954686
—
VA
Enumeration date
07/03/2005
Last updated
01/18/2008
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