Individual
CHRISTINE KOMISKE DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4581 LIFESTYLE LN, SUITE 206, MIDLOTHIAN, VA 23112-4807
(804) 608-9430
Mailing address
4581 LIFESTYLE LN, MIDLOTHIAN, VA 23112-4807
(804) 608-9430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008296
VA
Other
Enumeration date
11/14/2013
Last updated
04/13/2016
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