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Organization

CATHERINE SACKS, LCSW, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CATHERINE SACKS LCSW (OWNER)
(434) 979-0401
Entity
Organization

Contact information

Practice address
1110 ROSE HILL DR, SUITE 201, CHARLOTTESVILLE, VA 22903-5159
(434) 979-0401
(434) 220-3335
Mailing address
1110 ROSE HILL DR, SUITE 201, CHARLOTTESVILLE, VA 22903-5159
(434) 979-0401
(434) 220-3335

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002205
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010326133
VA
01
083485
SENTARA
VA
01
208402
ANTHEM
VA
Enumeration date
04/04/2007
Last updated
07/08/2010
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