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CATHERINE PLATTER IVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6515 GEO WASH MEM HWY STE 100, GRAFTON, VA 23692
(757) 877-9140
(757) 877-3925
Mailing address
PO BOX 1069, GRAFTON, VA 23692
(757) 877-9140
(757) 877-3925

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904001466
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017134
ANTHEM
VA
05
8906327
VA
Enumeration date
08/13/2006
Last updated
02/07/2012
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