Individual
KEYONNA LATARSHA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1119 IVY CLUB LN UNIT 1022, LANDOVER, MD 20785-4527
(202) 413-3040
Mailing address
1119 IVY CLUB LN UNIT 1022, LANDOVER, MD 20785-4527
(202) 413-3040
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG200004511
DC
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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