Keisha N. Caddle
Social Worker, Clinical in Chesterfield, VA. Individual provider (NPI-1).
NPI number1104587716
StatusActive
Last updated in NPPESAug 9, 2023
Details
- NPI
- 1104587716
- Entity type
- Individual (NPI-1)
- Name
- Keisha N. Caddle
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2022
- Certification date
- Aug 9, 2023
- Last updated
- Aug 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
10109 Krause Rd Ste 300Chesterfield, VA 23832-6501
Phone 804-909-3497
Mailing address
10109 Krause Rd Ste 201Chesterfield, VA 23832-6501
Phone 804-909-3497
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