Individual
MS. KATHERINE J LEBEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 E MARKET ST, SUITE 201, LEESBURG, VA 20176-3014
(703) 585-4107
(703) 737-3922
Mailing address
18354 FAIRWAY OAKS SQ, LEESBURG, VA 20176-8460
(703) 585-4107
(703) 737-3922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004032
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010215226
—
VA
Enumeration date
07/07/2011
Last updated
07/07/2011
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