Individual
EBONY LEA'SHAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18469 DUNNE AVE, PARKSLEY, VA 23421
(757) 665-5041
Mailing address
PO BOX 318, TASLEY, VA 23441-0318
(757) 442-3636
(757) 787-2503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904018379
VA
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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