Individual
JAHAIRA TAVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1120 LASKIN RD STE 104, VIRGINIA BEACH, VA 23451-5273
(757) 650-5346
Mailing address
844 OLMSTEAD ST, CHESAPEAKE, VA 23323-1431
(347) 295-4972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
083588
NY
1041C0700X
Clinical Social Worker
Primary
0904014830
VA
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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