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1003860834
KATHERINE DERVIN
FREDERICKSBURG, VA
NPI
1003860834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904000016)
Enumeration Date
2006-05-19
Last Update Date
2007-07-08
Business Address
-- KATHERINE DERVIN LCSW
12000 KENNEDY LN SUITE 100
FREDERICKSBURG, VA 22407-6016
Phone number: 540-548-2063
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Mailing Address
-- KATHERINE DERVIN LCSW
12000 KENNEDY LN SUITE 100
FREDERICKSBURG, VA 22407-6016
Phone number: 540-548-2063
Copy
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