Individual
LATESHIA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 6TH ST, BLACKSTONE, VA 23824-2402
(804) 590-4305
(434) 298-0446
Mailing address
300 6TH ST, BLACKSTONE, VA 23824-2402
(804) 590-4305
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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