Individual
TABITHA DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1999 S MAIN ST STE 405, BLACKSBURG, VA 24060-6601
(276) 260-8939
Mailing address
1999 S MAIN ST STE 405, BLACKSBURG, VA 24060-6601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704017211
VA
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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