Kenneth L Labasky LCSW

NPI 1003803453 - Social Worker - 1041C0700X

NPI Details
NPI 1003803453
Gender Male
Enumeration Date 09/30/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
3300 ACADEMY AVE
PORTSMOUTH VA, 23703-3205, US
Phone (757) 483-6404
Fax (757) 483-0737
Business Location
3300 ACADEMY AVE
PORTSMOUTH VA, 23703-3205, US
Phone (757) 483-6404
Fax (757) 483-0737
Toxanomy
Taxonomy Code 1041C0700X
License State Virginia
License Number 0904000814
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According to our database, Kenneth L Labasky LCSW NPI is 1003803453, taxonomy code is 1041C0700X and license number is 0904000814, license state is located at Virginia. Kenneth L Labasky LCSW physically located at 3300 Academy Ave, Portsmouth VA, 23703-3205. NPI Number Kenneth L Labasky LCSW has the Individual type.

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1003803453 NPI number is provided on an as is basis without warranty of any kind. 1003803453 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth L Labasky LCSW are for informational purposes only.