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1376767244
LISA IERVOLINO PANELO
VIRGINIA BEACH, VA
NPI
1376767244
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Former Name
LISA JARRETT IERVOLINO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904006502)
Enumeration Date
2007-04-12
Last Update Date
2018-12-30
Business Address
Ms. LISA IERVOLINO PANELO MS, LCSW
4099 FOXWOOD DR SUITE 200
VIRGINIA BEACH, VA 23462-5222
Phone number: 757-467-8184
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Mailing Address
Ms. LISA IERVOLINO PANELO MS, LCSW
2253 CAPE ARBOR DR
VIRGINIA BEACH, VA 23451-1530
Phone number: 757-343-0064
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