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KELLER COSIMANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
10676 HINTON WAY, MANASSAS, VA 20112-5882
(865) 804-5440
Mailing address
10676 HINTON WAY, MANASSAS, VA 20112-5882
(865) 804-5440

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014656
VA

Other

Enumeration date
01/09/2023
Last updated
09/05/2023
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