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Individual

MS. KAREN J BERUBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8001 FORBES PLACE, SPRINGFIELD, VA 22151
(703) 321-2600
(703) 321-2603
Mailing address
8001 FORBES PLACE, SPRINGFIELD, VA 22151
(703) 321-2600
(703) 321-2603

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8912467
VA
Enumeration date
10/05/2006
Last updated
07/08/2007
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