Individual
MISS SARAH SUSAN JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
816 W 38TH ST, NORFOLK, VA 23508-2672
(703) 209-6463
Mailing address
816 W 38TH ST, NORFOLK, VA 23508-2672
(703) 209-6463
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
B66084248
VA
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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