JOSANDRA DEFAZIO

BRIDGEPORT, WV
NPI1609598671
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WV  DP00946344)
Enumeration Date2022-09-15
Last Update Date2025-12-09
Business Address
JOSANDRA DEFAZIO LGSW
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330-0259
Phone number: 304-848-5770
Mailing Address
JOSANDRA DEFAZIO LGSW
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330-0259
Phone number: 304-848-5770