SHACONDA LARECE HOLLOWAY

SUFFOLK, VA
NPI1114463700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904009488)
Enumeration Date2017-01-06
Last Update Date2017-01-06
Business Address
Miss SHACONDA LARECE HOLLOWAY L.C.S.W.
5268 GODWIN BLVD WESTERN TIDEWATER MENTAL HEALTH
SUFFOLK, VA 23434
Phone number: 757-255-7117
Mailing Address
Miss SHACONDA LARECE HOLLOWAY L.C.S.W.
3239 JOPLIN LN
CHESAPEAKE, VA 23323-1197
Phone number: 757-942-1987
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