Individual
KATHRYN JANE PERSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
825 DILIGENCE DR STE 206, NEWPORT NEWS, VA 23606-4272
(757) 310-6900
(757) 240-5936
Mailing address
911 IRONWOOD DR, YORKTOWN, VA 23693-5563
(774) 788-1064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008085
VA
1041C0700X
Clinical Social Worker
107865
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1898906
—
MA
01
—
P07340
BLUE CROSS
MA
Enumeration date
01/24/2007
Last updated
07/21/2022
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