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1275005902
KATHERINE MODICA
CHARLOTTESVILLE, VA
NPI
1275005902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904010843)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
KATHERINE MODICA LCSW
500 OLD LYNCHBURG RD
CHARLOTTESVILLE, VA 22903-6500
Phone number: 434-970-1291
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Mailing Address
KATHERINE MODICA LCSW
5032 CLEARFIELDS CT
CROZET, VA 22932-3146
Phone number: 434-242-2436
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