Individual
MS. LAKISHA THERESA WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4301 13TH ST NW, WASHINGTON, DC 20011-5629
(202) 576-8399
Mailing address
300 BRYANT ST NW, WASHINGTON, DC 20001-1708
(202) 939-3610
(202) 671-0086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50079032
DC
Other
Enumeration date
09/25/2011
Last updated
01/07/2020
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