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Individual

TESSA MEI NGOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
315 W 3RD ST, FARMVILLE, VA 23901-1293
(434) 395-2967
(434) 395-2969
Mailing address
PO BOX 197, FARMVILLE, VA 23901-0197

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
3540
VA

Other

Enumeration date
06/25/2025
Last updated
06/25/2025
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