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Individual

KATHERINE MARIE REBIDEAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1072 DORTMUNDER DR, SPARKS, NV 89441-5847
(720) 633-0329
Mailing address
1072 DORTMUNDER DR, SPARKS, NV 89441-5847
(720) 633-0329

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015601
VA

Other

Enumeration date
07/27/2023
Last updated
07/27/2023
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