Individual
LAQUITA MCCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
418 OLD KESWICK LN, SOUTH PRINCE GEORGE, VA 23805-7867
(434) 885-8915
Mailing address
418 OLD KESWICK LN, SOUTH PRINCE GEORGE, VA 23805-7867
(434) 885-8915
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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