Individual
THERESA CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
4924 MERLIN LN, GLEN ALLEN, VA 23060-4917
(804) 290-8258
Mailing address
4924 MERLIN LN, GLEN ALLEN, VA 23060-4917
(804) 290-8258
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
VA
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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