KATHLEEN C. DERISE

NEWPORT NEWS, VA
NPI1629089248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904000534)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
Mrs. KATHLEEN C. DERISE LCSW
12695 MCMANUS BLVD BLDG. 8
NEWPORT NEWS, VA 23602-4435
Phone number: 757-877-7700
Mailing Address
Mrs. KATHLEEN C. DERISE LCSW
205 LAKEWOOD PARK DR
NEWPORT NEWS, VA 23602-6261
Phone number: 757-877-8765
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