Individual
JESSICA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 THOMPSON DR, ABINGDON, VA 24210-2346
(276) 739-3051
Mailing address
812 THOMPSON DR, ABINGDON, VA 24210-2346
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000269
VA
Other
Enumeration date
04/03/2018
Last updated
09/16/2022
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