Individual
MS. CONNIE MACALUSO-DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, NCC
Contact information
Practice address
14410 SOMMERVILLE CT, SUITE 101, MIDLOTHIAN, VA 23113-6813
(804) 897-9355
(804) 897-9359
Mailing address
6624 CORCORAN DR, CHESTERFIELD, VA 23832-7433
(804) 201-0367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007655
VA
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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