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1225877020
KATY B PROFFITT
RESTON, VA
NPI
1225877020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904016816)
Enumeration Date
2024-05-21
Last Update Date
2024-05-21
Business Address
KATY B PROFFITT LCSW
12020 SUNRISE VALLEY DR STE 100
RESTON, VA 20191-3429
Phone number: 646-941-7645
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Mailing Address
KATY B PROFFITT LCSW
2510 WISTAR ST
RICHMOND, VA 23294-3512
Phone number: 804-386-8650
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