Individual
EILEEN PERSICHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
(503) 970-5903
Mailing address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC200003102
DC
1041C0700X
Clinical Social Worker
LG200001261
DC
Other
Enumeration date
07/12/2022
Last updated
05/06/2024
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