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1699136226
LATESHA BLACK
VIRGINIA BEACH, VA
NPI
1699136226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904009270)
Enumeration Date
2016-03-09
Last Update Date
2016-03-09
Business Address
-- LATESHA BLACK LCSW
623 CEDAR SPRINGS CT
VIRGINIA BEACH, VA 23462-7115
Phone number: 757-773-0227
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Mailing Address
-- LATESHA BLACK LCSW
623 CEDAR SPRINGS CT
VIRGINIA BEACH, VA 23462-7115
Phone number: 757-773-0227
Copy
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