Individual
BONNY KAITLIN WESTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
Mailing address
13361 CROWNING PL, BRISTOW, VA 20136-1790
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009211
VA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/19/2013
Last updated
09/03/2020
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