Individual
JESSICA PANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
44715 PRENTICE DR UNIT 305, ASHBURN, VA 20146-8017
(646) 941-7645
Mailing address
44715 PRENTICE DR UNIT 305, ASHBURN, VA 20146-8017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010136
VA
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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