Individual
MRS. GLENN PERRY KATABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
443 KEMPSVILLE RD, NORFOLK, VA 23502-4727
(757) 455-6207
(757) 466-0767
Mailing address
443 KEMPSVILLE RD, NORFOLK, VA 23502-4727
(757) 455-6207
(757) 466-0767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004869
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008933006
—
VA
Enumeration date
03/05/2010
Last updated
03/05/2010
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