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Individual

MRS. CATHERINE C WHITLEDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1515 CHAIN BRIDGE RD, SUITE G14, MCLEAN, VA 22101-4451
(703) 734-1114
(703) 356-1453
Mailing address
1515 CHAIN BRIDGE RD, MCLEAN, VA 22101-4451
(703) 734-1114
(703) 356-1453

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001703
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025009
ANTHEM PIN
VA
01
8107
BLUE CROSS PIN
VA
Enumeration date
01/25/2007
Last updated
07/09/2007
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