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Individual

JOHN LUKE DRIESSNACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
11407 OLDE STONE LN, LOVETTSVILLE, VA 20180-1871
(240) 422-9689
Mailing address
11407 OLDE STONE LN, LOVETTSVILLE, VA 20180-1871
(240) 422-9689

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW022296
PA

Other

Enumeration date
01/12/2021
Last updated
04/17/2024
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