Individual
SAVANNAH MARIE CHILDERS HOMMEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 DOUGLAS AVE NW, ROANOKE, VA 24012-4611
(540) 853-2502
Mailing address
40 DOUGLAS AVE NW, ROANOKE, VA 24012-4611
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000515
VA
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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