Individual
MS. JESSICA LICIA ZIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4915 CASKIE ST, RICHMOND, VA 23230-3507
(804) 545-3196
Mailing address
2908 ELLWOOD AVE, RICHMOND, VA 23221-3022
(804) 545-3196
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09004006439
VA
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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