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Individual

KAREN E HASBROUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2006 BREMO RD, SUITE 101, RICHMOND, VA 23226-2438
(804) 288-1881
(804) 282-6413
Mailing address
2006 BREMO RD, SUITE 101, RICHMOND, VA 23226-2438
(804) 288-1881
(804) 282-6413

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004934
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009999841
VA
01
0803313M
OPTIMA
01
2222943
CIGNA
01
228773
COMPSYCH
01
289387
ANTHEM
01
301263
ANTHEM HEALTHKEEPERS
01
55729000
MAGELLAN
01
7530514
AETNA
01
861112647
UBH
Enumeration date
09/30/2005
Last updated
12/29/2008
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