Individual
LATASHA DARSHALLE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
6906 SWANHAVEN DR, NORTH CHESTERFIELD, VA 23234-5700
(804) 299-1987
Mailing address
6906 SWANHAVEN DR, NORTH CHESTERFIELD, VA 23234-5700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015324
VA
1041C0700X
Clinical Social Worker
CSW03130
RI
Other
Enumeration date
03/15/2023
Last updated
05/31/2023
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