Individual
JESSICA TRACY DEAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CAS
Contact information
Practice address
387 CHURCH STREET, MATHEWS, VA 23109
(804) 725-3499
Mailing address
362 GARDEN CREEK RD, MATHEWS, VA 23109-2088
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000762
VA
Other
Enumeration date
01/30/2018
Last updated
05/13/2024
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