Individual
KELSEY SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 VILLAGE DR, VIRGINIA BEACH, VA 23454-4250
(757) 678-8191
(757) 222-1903
Mailing address
618 VILLAGE DR, VIRGINIA BEACH, VA 23454-4250
(757) 678-8191
(757) 222-1903
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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