Katherine Dervin LCSW

NPI 1003860834 - Social Worker - 1041C0700X

NPI Details
NPI 1003860834
Gender Female
Enumeration Date 05/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
12000 KENNEDY LN
SUITE 100
FREDERICKSBURG VA, 22407-6016, US
Phone (540) 548-2063
Fax (540) 548-2962
Business Location
12000 KENNEDY LN
SUITE 100
FREDERICKSBURG VA, 22407-6016, US
Phone (540) 548-2063
Fax (540) 548-2962
Toxanomy
Taxonomy Code 1041C0700X
License State Virginia
License Number 0904000016
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According to our database, Katherine Dervin LCSW NPI is 1003860834, taxonomy code is 1041C0700X and license number is 0904000016, license state is located at Virginia. Katherine Dervin LCSW physically located at 12000 Kennedy Ln, Fredericksburg VA, 22407-6016. NPI Number Katherine Dervin LCSW has the Individual type.

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1003860834 NPI number is provided on an as is basis without warranty of any kind. 1003860834 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine Dervin LCSW are for informational purposes only.