Individual
MS. DOLORES ERIKA CANCINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
5213 JERRAL DRIVE, PRINCE GEORGE, VA 23875
(307) 240-0879
Mailing address
5213 JERRAL DRIVE, PRINCE GEORGE, VA 23875
(307) 240-0879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017043
VA
1041C0700X
Clinical Social Worker
6168
LA
Other
Enumeration date
09/15/2006
Last updated
08/22/2024
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