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Individual

KARICIA CORUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8348 TRAFORD LN STE 400, SPRINGFIELD, VA 22152-1650
(703) 866-2131
Mailing address
6310 EAGLE RIDGE LN UNIT A, ALEXANDRIA, VA 22312-3938
(703) 731-6764

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009966
VA
1041C0700X
Clinical Social Worker

Other

Enumeration date
08/22/2017
Last updated
08/22/2017
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