Most Relevant Information
Provider Data
| NPI Number: | 1003803453 |
| Provider Name: | KENNETH L LABASKY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 0904000814 |
Most Important Dates
| Enumeration Date: | 09/30/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3300 ACADEMY AVE
PORTSMOUTH
VA
237033205
Practice Location Phone/Fax
| Phone: | 7574836404 |
| Fax: | 7574830737 |
Provider Mailing Location
3300 ACADEMY AVE
PORTSMOUTH
VA
237033205
Provider Mailing Phone/Fax
| Phone: | 7574836404 |
| Fax: | 7574830737 |