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Individual

SHARON L BRENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
8527 MAYLAND DR, SUITE 101, RICHMOND, VA 23294-4753
(804) 346-5165
Mailing address
8527 MAYLAND DR, SUITE 101, RICHMOND, VA 23294-4753
(804) 346-5165

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004625
VA
103TC2200X
Clinical Child & Adolescent Psychologist
0810004625
VA

Other

Enumeration date
09/04/2012
Last updated
09/04/2012
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