Individual
KATE KRIZAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8206 LEESBURG PIKE STE 302, VIENNA, VA 22182-2614
(703) 594-1535
Mailing address
352 GALLOP WOOD PL, GREAT FALLS, VA 22066-1127
(202) 669-5370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906014966
VA
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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