Individual
KATIE R. EUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC, CADC
Contact information
Practice address
10084 DANIELS RUN WAY, FAIRFAX, VA 22030-2448
(303) 902-0653
(719) 314-1719
Mailing address
10084 DANIELS RUN WAY, FAIRFAX, VA 22030-2448
(303) 902-0653
(719) 314-1719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09924585
CO
Other
Enumeration date
11/16/2005
Last updated
04/01/2024
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