Individual
MRS. LATORIA JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9278 RAINBOW FALLS DR, BRISTOW, VA 20136-2150
(202) 870-0393
Mailing address
9278 RAINBOW FALLS DR, BRISTOW, VA 20136-2150
(202) 870-0393
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014873
VA
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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