Individual
KATHERINE DERVIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12000 KENNEDY LN, SUITE 100, FREDERICKSBURG, VA 22407-6016
(540) 548-2063
(540) 548-2962
Mailing address
12000 KENNEDY LN, SUITE 100, FREDERICKSBURG, VA 22407-6016
(540) 548-2063
(540) 548-2962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000016
VA
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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