Individual
KATHRYN ALAYNE FEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
224 GREAT BRIDGE BLVD, CHESAPEAKE, VA 23320-3904
(757) 547-9334
(757) 819-6326
Mailing address
5900 TRUMPET DR, SUFFOLK, VA 23437-9060
(757) 729-3859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010118
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904010118
LCSW
VA
Enumeration date
09/28/2017
Last updated
09/28/2017
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