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1104535095
LAKEISHA DANIELLE HENRY
ROANOKE, VA
NPI
1104535095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904014204)
Enumeration Date
2022-11-18
Last Update Date
2022-11-18
Business Address
LAKEISHA DANIELLE HENRY
4505 BILTMORE DR NW
ROANOKE, VA 24017-1513
Phone number: 540-491-1552
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Mailing Address
LAKEISHA DANIELLE HENRY
4505 BILTMORE DR NW
ROANOKE, VA 24017-1513
Phone number: 540-491-1552
Copy
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