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1174150429
KATHERINE MARIE ILLGEN
YORKTOWN, VA
NPI
1174150429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VA 090411313)
Enumeration Date
2020-03-26
Last Update Date
2022-09-15
Business Address
KATHERINE MARIE ILLGEN LCSW, CCTP
6515 GEORGE WASHINGTON MEM HWY
YORKTOWN, VA 23692-2182
Phone number: 757-877-9140
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Mailing Address
KATHERINE MARIE ILLGEN LCSW, CCTP
600 MEDICAL DR
HAMPTON, VA 23666-1769
Phone number: 757-788-0649
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