Individual
EMILY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21000 EDUCATION CT, BROADLANDS, VA 20148-5526
(571) 252-1000
Mailing address
551 E A ST, PURCELLVILLE, VA 20132-3406
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-0607511
VA
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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