Individual
DOLORES DEGIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2129 AITKIN LOOP, LEESBURG, FL 34748-2955
(917) 270-7027
Mailing address
204 WEST SQ, BLUFFTON, SC 29910-5133
(917) 270-7027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05925300
NJ
1041C0700X
Clinical Social Worker
Primary
TPSW2746
FL
Other
Enumeration date
05/15/2017
Last updated
11/16/2023
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