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Individual

KATHLEEN S LEVENSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
5001 W VILLAGE GREEN DR STE 205, MIDLOTHIAN, VA 23112-4801
(833) 510-4357
Mailing address
101 N LYNNHAVEN RD, STE 100, VIRGINIA BEACH, VA 23452-7523
(513) 834-7063

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904005283
VA
1041C0700X
Clinical Social Worker
0904005283
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008945187
VA
01
0904005283
LCSW LICENSE #
VA
Enumeration date
02/14/2006
Last updated
03/03/2022
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