Individual
KAITLYN RAE KELLERMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10521 ROSEHAVEN ST, FAIRFAX, VA 22030-2876
(703) 352-3822
Mailing address
2679 AVENIR PL APT 4310, VIENNA, VA 22180-7181
(214) 616-5755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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