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Individual

GABRIELLE M BENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, EDS

Contact information

Practice address
40 DOUGLAS AVE NW, ROANOKE, VA 24012-4611
(540) 853-6139
Mailing address
201 SAVANNAH DR NE, ROANOKE, VA 24012-6570
(859) 619-8808

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0608860
VA

Other

Enumeration date
01/15/2025
Last updated
01/15/2025
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