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Organization
KATHLEEN VAN WIE LCSW, INC
Active
Organization
KATHLEEN VAN WIE LCSW, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN VAN WIE LCSW (DIRECTOR)
(916) 786-3740
Entity
Organization
Contact information
Practice address
775 SUNRISE AVE STE 120, ROSEVILLE, CA 95661-4527
(916) 786-3740
(916) 773-0965
Mailing address
775 SUNRISE AVE STE 120, ROSEVILLE, CA 95661-4527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LB009283
CA
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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