Individual
MS. JULIE M CONVISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
710 E HIGH ST STE 202, CHARLOTTESVILLE, VA 22902-5124
(434) 806-8516
(434) 971-7740
Mailing address
710 E HIGH ST STE 202, CHARLOTTESVILLE, VA 22902-5124
(434) 806-8516
(434) 971-7740
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006382
VA
Other
Enumeration date
10/26/2006
Last updated
04/10/2023
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