Individual
MISS KATHRYN ELIZABETH MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5505 INDIAN RIVER RD, STE 100, VIRGINIA BEACH, VA 23464-5252
(202) 701-8387
Mailing address
523 MULLIGAN DR, VIRGINIA BEACH, VA 23462-6423
(202) 701-8387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008483
VA
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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