Individual
DAVID R DILZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3058 RIVER RD W, GOOCHLAND, VA 23063-3202
(804) 556-5400
(804) 556-5403
Mailing address
PO BOX 189, GOOCHLAND, VA 23063-0189
(804) 556-5400
(804) 556-5403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000626
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106614
HEALTHKEEPERS - GCH
VA
01
—
106615
HEALTHKEEPERS
VA
01
—
244014
MAMSI
VA
01
—
A932447
VALUE OPTIONS
VA
01
—
O86291
SENTARA
VA
Enumeration date
06/02/2006
Last updated
12/11/2007
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