Individual
MRS. KEISHA LAVON DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7000 JACOBS GROVE CT, MANASSAS, VA 20112-8863
(254) 226-4223
Mailing address
7000 JACOBS GROVE CT, MANASSAS, VA 20112-8863
(254) 226-4223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904018522
VA
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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