| Christine Komiske Dwyer, Lcsw, Llc | |
|
4920 Millridge Pkwy E Suite 206 Midlothian VA 23112-4857 | |
| (804) 608-9430 | |
| Not Available |
| Full Name | Christine Komiske Dwyer, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4920 Millridge Pkwy E, Midlothian, Virginia |
| Authorized Official Name and Position | Christine Komiske Dwyer (OWNER/MANAGER) |
| Authorized Official Contact | 8046089430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Komiske Dwyer, Lcsw, Llc 4920 Millridge Pkwy E Suite 206 Midlothian VA 23112-4857 Ph: (804) 608-9430 | Christine Komiske Dwyer, Lcsw, Llc 4920 Millridge Pkwy E Suite 206 Midlothian VA 23112-4857 Ph: (804) 608-9430 |
| NPI Number | 1760803399 |
|---|---|
| Provider Enumeration Date | 12/28/2013 |
| Last Update Date | 02/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760803399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904008296 (Virginia) | Primary |
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