Individual
CATHERINE LESLIE WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8348 TRAFORD LN, SPRINGFIELD, VA 22152-1663
(703) 569-8731
Mailing address
12848 MILL HOUSE CT, WOODBRIDGE, VA 22192-2927
(703) 853-2780
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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