Individual
MARIAH NICHOLE LONGMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4530
(540) 419-9319
Mailing address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4530
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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