JILL MARIE FAZIO Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013594

License Status

NOT RENEWED

Business

First Name

JILL

Middle

MARIE

Last Name

FAZIO

Business Name

JILL MARIE FAZIO

Original Issue Date

05/06/2009

Effective Date

11/29/2021

Expiration Date

11/30/2023

City

DULLES

State

Zip

20189

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024