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Individual

GRACE A PESIKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W., C.A.D.C.

Contact information

Practice address
32140 OAK DR, LEWES, DE 19958-3663
(302) 381-6648
(302) 966-0006
Mailing address
32140 OAK DR, LEWES, DE 19958-3663
(302) 381-6648
(302) 966-0006

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q10000149
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
270002
MEDICARE PTAN
DE
Enumeration date
11/28/2006
Last updated
11/17/2014
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