Christine Komiske Dwyer, LCSW
Social Worker, Clinical in Midlothian, VA. Individual provider (NPI-1).
NPI number1649600404
StatusActive
Last updated in NPPESApr 13, 2016
Details
- NPI
- 1649600404
- Entity type
- Individual (NPI-1)
- Name
- Christine Komiske Dwyer
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2013
- Last updated
- Apr 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904008296 | VA | Yes |
Other names
- Lori Christine Komiske (Former Name)
Practice location
4581 Lifestyle LnSuite 206
Midlothian, VA 23112-4807
Phone 804-608-9430
Mailing address
4581 Lifestyle LnMidlothian, VA 23112-4807
Phone 804-608-9430
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