Individual
KATHRYN HORNBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4700 BANTING CT, FAIRFAX, VA 22032-2451
(571) 236-2980
Mailing address
4700 BANTING CT, FAIRFAX, VA 22032-2451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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