Individual
SUSAN LEONETT MAGOWAN-BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
1751 SHUTTERLEE MILL RD, STAUNTON, VA 24401-1709
(540) 332-3934
(540) 332-3973
Mailing address
1751 SHUTTERLEE MILL RD, STAUNTON, VA 24401-1709
(540) 332-3934
(540) 332-3973
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000207
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0813000207
SCHOOL PSYCHOLOGIST - LIMITED
VA
01
—
PPS-0600458
PUPIL PERSONNEL SERVICES
VA
Enumeration date
07/13/2018
Last updated
07/13/2018
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