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1831514413
KATY PETAK
BLACKSBURG, VA
NPI
1831514413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904006332)
Enumeration Date
2014-02-19
Last Update Date
2014-02-19
Business Address
-- KATY PETAK
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060-2706
Phone number: 540-961-8300
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Mailing Address
-- KATY PETAK
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060-2706
Phone number: 540-961-8300
Copy
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