Individual
MARJORIE RUTH HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1354 8TH ST SW, ROANOKE, VA 24015-1812
(434) 942-6392
(540) 384-6308
Mailing address
3470 BRADSHAW RD, SALEM, VA 24153-8712
(434) 942-6392
(540) 384-6308
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000019
VA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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