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1275249294
SUSAN GALLICCHIO
VIRGINIA BEACH, VA
NPI
1275249294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904014427)
Enumeration Date
2023-01-24
Last Update Date
2023-01-24
Business Address
SUSAN GALLICCHIO LCSW
319 EDWIN DR STE 103
VIRGINIA BEACH, VA 23462-4541
Phone number: 757-951-3704
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Mailing Address
SUSAN GALLICCHIO LCSW
1172 EPPINGTON DR
VIRGINIA BEACH, VA 23454-5840
Phone number: 757-951-3704
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