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Individual

CAROLINE AGEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSP

Contact information

Practice address
1503 SANTA ROSA RD RM 105, RICHMOND, VA 23229-5105
(804) 673-0100
Mailing address
1503 SANTA ROSA RD RM 105, RICHMOND, VA 23229-5105

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0803000269
VA

Other

Enumeration date
07/06/2018
Last updated
06/11/2019
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