Individual
MS. ELLEN J KABAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11250 ROGER BACON DR, #7, RESTON, VA 20190-5202
(703) 481-3242
Mailing address
878 STATION STREET, HERNDON, VA 20170-4608
(703) 742-0811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001076
VA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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