Organization
GRACE PESIKEY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE A. PESIKEY LCSW/CADC (SOLE PROPRIETOR)
(302) 381-6648
Entity
Organization
Contact information
Practice address
19639 PLANTATIONS RD., REHOBOTH BEACH, DE 19971-9999
(302) 381-6648
Mailing address
32140 OAK DRIVE, LEWES, DE 19958-3663
(302) 381-6648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0000149
DE
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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