Provider Information for 1114299732
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DEBORAH IRENE GIOIA-HASICK PhD, LCSW-C
Other Names:Former Name:DEBORAH IRENE GIOIASex: Female
NPI: 1114299732
Last Updated: 2022-08-08
Certification Date: 2022-08-05
Certification Date: 2022-08-05
Details
| Name | Value | ||||||||
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| NPI | 1114299732 | ||||||||
| Enumeration Date | 2012-01-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 39 HAWTHORNE AVE SAN ANSELMO, CA 94960-1522 United States Phone: 734-730-4366 | Fax: | ||||||||
| Primary Practice Address | 3355 SAINT JOHNS LN ELLICOTT CITY, MD 21042-2605 United States Phone: 734-730-4366 | Fax: | ||||||||
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