Individual
KENEISHA NEWLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1166 FAIRFAX BLVD SUITE 500, PMB 1024, FAIRFAX, VA 20112-2554
(540) 326-5646
Mailing address
10547 WATERBURY WOODS WAY, MANASSAS, VA 20112-2460
(540) 326-5646
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06242400
NJ
Other
Enumeration date
11/05/2017
Last updated
01/09/2025
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