Individual
LISA REPASKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1780 BENTIVAR DR, CHARLOTTESVILLE, VA 22911-8227
(614) 800-5685
Mailing address
1780 BENTIVAR DR, CHARLOTTESVILLE, VA 22911-8227
(614) 800-5685
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW0904008809
VA
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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