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Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1437309473

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
Tel: 540-675-1222  Fax: --

Contact information for business:
Tel: 540-987-3174  Fax: --

Registration Information:
NPI: 1437309473
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers

Legacy codes, insurance codes and state license numbers:



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