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Individual

MS. KATRINA H MANSINON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW MSW

Contact information

Practice address
1901 HUGUENOT RD, SUITE 201, RICHMOND, VA 23235
(804) 254-2297
(804) 378-2078
Mailing address
PO BOX 35395, SUITE 201, RICHMOND, VA 23235-4311
(804) 378-3364
(804) 378-2078

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006716
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194908079
VA
Enumeration date
12/13/2007
Last updated
11/30/2011
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