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Individual

LISA MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 CLAREMONT LN STE 103, CROZET, VA 22932-3455
(434) 466-1588
(866) 289-5249
Mailing address
180 GRAFTON LANE, BERRYVILLE, VA 22611
(540) 542-0200
(540) 542-0218

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810002635
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0810002635
STATE LICENSING BOARD
VA
Enumeration date
03/20/2007
Last updated
01/10/2023
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