Individual
PJ FACCIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSSW
Contact information
Practice address
16287 WILLOW CREEK RD, LEWES, DE 19958-3614
(302) 643-2011
(302) 827-4856
Mailing address
16287 WILLOW CREEK RD, LEWES, DE 19958-3614
(302) 703-6332
(302) 827-4856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
DE
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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