Individual
LAKEYIA SHANISE MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 TIMBER VALLEY WAY STE 107, VIRGINIA BEACH, VA 23464-5375
(619) 846-8805
Mailing address
905 TIMBER VALLEY WAY STE 107, VIRGINIA BEACH, VA 23464-5375
(619) 846-8805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015756
VA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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