Individual
JESSICA D FRATRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2215 LANGHORNE RD, SUITE 104, LYNCHBURG, VA 24501-1121
(434) 948-3810
(434) 948-4918
Mailing address
2215 LANGHORNE RD, SUITE 104, LYNCHBURG, VA 24501-1121
(434) 948-4918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006360
VA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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