Individual
JESSICA DELISIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6603 IRONGATE SQ, NORTH CHESTERFIELD, VA 23234-6081
(804) 743-0960
Mailing address
2852 TURNER OAKS DR, GOOCHLAND, VA 23063-2625
(804) 240-0229
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009281
PA
Other
Enumeration date
09/18/2016
Last updated
09/18/2016
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