Individual
CATHY DIANE BOTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8001 FORBES PL, #200, SPRINGFIELD, VA 22151-2208
(703) 321-2502
(703) 321-2603
Mailing address
8001 FORBES PLACE, #200, SPRINGFIELD, VA 22151
(703) 321-2502
(703) 321-2603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005185
VA
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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