Individual
MISS KATELYN CREEDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2464
(540) 983-1053
Mailing address
215 CIRCLE DR, ROCKY MOUNT, VA 24151-1001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010272
VA
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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