Organization
DORENE P FICK LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORENE P FICK LCSW (LCSW)
(540) 597-8512
Entity
Organization
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) 597-8512
(540) 337-7235
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0904006769
VA
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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