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Individual

MS. DORENE P. FICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-R

Contact information

Practice address
1409 GRANDIN RD SW, ROANOKE, VA 24015-2317
(540) 225-2835
(540) 339-7235
Mailing address
713 N MILL RD, SALEM, VA 24153-2912
(540) 389-5657
(540) 772-5157

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
056891-R
NY
1041C0700X
Clinical Social Worker
Primary
090406769
VA

Other

Enumeration date
05/22/2007
Last updated
10/13/2022
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