Individual
LAUREN WERNLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 WASHINGTON ST, OCCOQUAN, VA 22125-7763
(703) 597-6743
Mailing address
PO BOX 843, OCCOQUAN, VA 22125-0843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396075685
IN HOME THERAPY
VA
Enumeration date
05/17/2019
Last updated
05/17/2019
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