Individual
DUSU PRATT-JALLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 GLEBE LN, MADISON, VA 22727-6822
(540) 738-7720
Mailing address
2523 JOHN EPPES RD APT 400, HERNDON, VA 20171-4406
(571) 369-0371
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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