MR. Kenneth Richard Thau, M.S.W., J.D.

NPI #1013980523 in Bristow, Virginia

Provider Information

NPI Number: 1013980523
Entity Type: Individual
Name: MR. Kenneth Richard Thau, M.S.W., J.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: M.S.W., J.D.
Enumeration Date: Feb 8, 2006
Last Updated: Feb 4, 2025

Practice Location

Address: 7969 SEQUOIA PARK WAY
City: Bristow
State: Virginia
ZIP Code: 20136-1286
Phone: (202) 320-5322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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