Individual
KATE MARIE BOUCEK LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6910 RICHMOND HWY STE 110, ALEXANDRIA, VA 22306-1850
(703) 660-8108
(703) 768-0103
Mailing address
6910 RICHMOND HWY STE 110, ALEXANDRIA, VA 22306-1850
(703) 660-8108
(703) 768-0103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007743
VA
1041C0700X
Clinical Social Worker
LC50078226
DC
Other
Enumeration date
07/10/2006
Last updated
04/18/2012
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