Individual
ERIN IMPELLIZZERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 COOL SPRING LN, CHARLES TOWN, WV 25414-4648
(301) 807-9275
Mailing address
21 COOL SPRING LN, CHARLES TOWN, WV 25414-4648
(201) 807-9275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00945440
WV
Other
Enumeration date
10/26/2019
Last updated
10/26/2019
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