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Individual
DOROTHY PANISSIDI
Active
Individual
DOROTHY PANISSIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
08416001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008929751
—
VA
01
—
146823
TRIGON
VA
01
—
382811
TRIGON
VA
01
—
382812
TRIGON
VA
Enumeration date
10/27/2006
Last updated
09/07/2022
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