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Organization

CHRISTINE KOMISKE DWYER, LCSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE KOMISKE DWYER LCSW (OWNER/MANAGER)
(804) 608-9430
Entity
Organization

Contact information

Practice address
4920 MILLRIDGE PKWY E, SUITE 206, MIDLOTHIAN, VA 23112-4857
(804) 608-9430
Mailing address
4920 MILLRIDGE PKWY E, SUITE 206, MIDLOTHIAN, VA 23112-4857
(804) 608-9430

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008296
VA

Other

Enumeration date
12/28/2013
Last updated
02/21/2014
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