Individual
MR. KENNETH RICHARD THAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W., J.D.
Contact information
Practice address
7969 SEQUOIA PARK WAY, BRISTOW, VA 20136-1286
(202) 320-5322
Mailing address
PO BOX 807, BRISTOW, VA 20136-0807
(202) 320-5322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003262
VA
Other
Enumeration date
02/08/2006
Last updated
02/04/2025
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