Individual
KATHLEEN LOUISE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
224 GREAT BRIDGE BLVD, CHESAPEAKE, VA 23320-3904
(757) 547-9334
(757) 819-6292
Mailing address
224 GREAT BRIDGE BLVD, CHESAPEAKE, VA 23320-3904
(757) 547-9334
(757) 819-6292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005156
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265733091
—
VA
Enumeration date
11/30/2010
Last updated
09/05/2013
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