Individual
JASMINE LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9321 MIDLOTHIAN TPKE STE C, NORTH CHESTERFIELD, VA 23235-4941
(804) 252-4525
(804) 597-0213
Mailing address
PO BOX 74821, NORTH CHESTERFIELD, VA 23236-0014
(804) 252-4525
(804) 597-0213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906011901
VA
Other
Enumeration date
03/18/2022
Last updated
04/16/2024
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