Individual
MRS. KATHLEEN DESHAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5941 TUSKWILLOW DR, CHESTERFIELD, VA 23832-8154
(804) 901-0681
Mailing address
5941 TUSKWILLOW DR, CHESTERFIELD, VA 23832-8154
(804) 901-0681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007875
VA
Other
Enumeration date
07/25/2012
Last updated
05/19/2025
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