Individual
CATHERINE RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP-A
Contact information
Practice address
4113 STEVENSON ST, FAIRFAX, VA 22030-5617
(703) 460-6200
Mailing address
14150 PARKEAST CIR STE 200, CHANTILLY, VA 20151-4212
(703) 449-6112
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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