Individual
ANNA KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 PRINCESS ANNA ST, FRERICKSBURG, VA 22401
(504) 922-1110
Mailing address
1411 PRINCESS ANNA ST, FRERICKSBURG, VA 22401
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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