Individual
KEISHA BACHELOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1214 PROGRESSIVE DR, CHESAPEAKE, VA 23320-2848
(757) 667-1287
Mailing address
1214 PROGRESSIVE DR, CHESAPEAKE, VA 23320-2848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010555
VA
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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