Individual
KATHRYN ANNE BLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 BATTERY RD, ALEXANDRIA, VA 22308-2805
(989) 600-2460
Mailing address
5810 KINGSTOWNE CTR STE 120-239, ALEXANDRIA, VA 22315-5732
(989) 600-2460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801117238
MI
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
11/01/2024
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