Individual
JESSICA DILWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, QMHP A/C
Contact information
Practice address
517 KING ST APT 403, PORTSMOUTH, VA 23704-3547
(510) 576-9695
Mailing address
517 KING ST APT 403, PORTSMOUTH, VA 23704-3547
(510) 576-9695
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906012965
VA
Other
Enumeration date
09/07/2019
Last updated
04/07/2025
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