Individual
KATRINA ANDRE DOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1241 GATEWOOD RD, NEWPORT NEWS, VA 23601-2313
(757) 591-4963
Mailing address
1241 GATEWOOD RD, NEWPORT NEWS, VA 23601-2313
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000730
VA
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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