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Individual

MS. CAROLYN S. KRAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMFT

Contact information

Practice address
9300 FOREST POINT CIR, SUITE 152, MANASSAS, VA 20110-4700
(703) 331-0311
Mailing address
9335 LEE HWY, APT. 405, FAIRFAX, VA 22031-1818
(703) 851-4763

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717000455
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
236114
ANTHEM BXBC ID
VA
01
236115
ANTHEM BXBC ID
VA
01
9048853
PHCS PROVDR ID
VA
Enumeration date
05/16/2007
Last updated
07/08/2007
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