Individual
KATHLEEN LUCY PERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9535 LINTON HALL RD, BRISTOW, VA 20136-1217
(703) 369-3800
(703) 369-3877
Mailing address
9535 LINTON HALL RD, BRISTOW, VA 20136-1217
(703) 369-3800
(703) 369-3877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002269
VA
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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