Individual
MRS. KATIE BRIDGETTE CONOBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3003 HOLLINS RD NE, ROANOKE, VA 24012-7505
(540) 981-9351
Mailing address
301 ELM AVE SW, ROANOKE, VA 24016-4001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013681
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437137734
—
VA
Enumeration date
11/13/2024
Last updated
11/20/2024
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