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Individual

ELIZABETH SCOTT DATTILIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
57 N MEDICAL PARK DR, FISHERSVILLE, VA 22939-2353
(540) 213-2525
(540) 213-2555
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-5162
(540) 932-5875

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
0904009607
VA
1041C0700X
Clinical Social Worker
Primary
0904009607
VA

Other

Enumeration date
07/03/2017
Last updated
12/20/2023
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