Individual
DAKOTA CHASE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 VOLUNTEER AVE, CLINTWOOD, VA 24228-9400
(276) 926-4644
Mailing address
PO BOX 1127, CLINTWOOD, VA 24228-1127
(276) 926-4644
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813001253
VA
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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