JANE LEE ICKES

WILLIAMSBURG, VA
NPI1508910662
Former NameJANE YOUNG-SUN LEE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904007677)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NC  C005652)
Enumeration Date2007-01-23
Last Update Date2015-01-21
Business Address
Mrs. JANE LEE ICKES MSW
5251-37 JOHN TYLER HWY PLT'S ABA WELLNESS CLINIC
WILLIAMSBURG, VA 23185
Phone number: 757-846-6959
Mailing Address
Mrs. JANE LEE ICKES MSW
5251-37 JOHN TYLER HWY PLT'S ABA WELLNESS CLINIC
WILLIAMSBURG, VA 23185
Phone number: 757-846-6959