Individual
JONATHAN LINEBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 W MAIN ST, LURAY, VA 22835-1030
(540) 743-6533
Mailing address
735 W MAIN ST, LURAY, VA 22835-1030
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000471
VA
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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