Individual
SARAH KATHLEEN SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6417 PROSPECT TER, ALEXANDRIA, VA 22310-3031
(740) 815-0703
Mailing address
6417 PROSPECT TER, ALEXANDRIA, VA 22310-3031
(740) 815-0703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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