Individual
JESSE DICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1375 AMBER RIDGE RD, CHARLOTTESVILLE, VA 22901-9544
(301) 988-5022
Mailing address
1375 AMBER RIDGE RD, CHARLOTTESVILLE, VA 22901-9544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/02/2020
Last updated
05/02/2020
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