TIERRA LA SHAY HEREFORD

FREDERICKSBURG, VA
NPI1043787138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: VA  0904010727)
Enumeration Date2018-10-27
Last Update Date2018-10-27
Business Address
TIERRA LA SHAY HEREFORD MSSW, LCSW
10715 SPOTSYLVANIA AVE
FREDERICKSBURG, VA 22408-2674
Phone number: 540-339-3640
Mailing Address
TIERRA LA SHAY HEREFORD MSSW, LCSW
1006 E MARKET ST STE C
CHARLOTTESVILLE, VA 22902-5374
Phone number:
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