Individual
KATHRYN RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
102 HERITAGE WAY NE STE 103, LEESBURG, VA 20176-4544
(571) 258-3261
Mailing address
PO BOX 7400, LEESBURG, VA 20177-7400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008727
VA
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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