Individual
MS. TAMARA GRANDOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8119 LEE HALL AVE, SUFFOLK, VA 23435-3444
(678) 330-3411
Mailing address
8119 LEE HALL AVE, SUFFOLK, VA 23435-3444
(678) 330-3411
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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