Individual
KIMBERLY JACKSON-SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N 9TH ST, RICHMOND, VA 23219-1933
(804) 780-4449
Mailing address
PO BOX 184, TAPPAHANNOCK, VA 22560-0184
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
08/30/2021
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