Individual
LAQUISHA LEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2004 HICKORYWOOD DR, SUFFOLK, VA 23434-2108
(910) 670-4252
Mailing address
2004 HICKORYWOOD DR, SUFFOLK, VA 23434-2108
(910) 670-4252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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