Individual
KATHRYN THORN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Mailing address
10014 BROADSWORD DR, BRISTOW, VA 20136-2611
(831) 241-8789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011499
VA
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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