Individual
MS. KATHRYN J. KOONTZ-KEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
555 CANVASBACK LN, HEATHSVILLE, VA 22473-3707
(804) 580-6160
Mailing address
555 CANVASBACK LN, HEATHSVILLE, VA 22473-3707
(804) 580-6160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004624
VA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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