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Individual

STACIE HARMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA/ BCBA

Contact information

Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4530
(703) 250-4535
Mailing address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4530
(703) 250-4535

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813001078
VA
251C00000X
Developmentally Disabled Services Day Training Agency
0133000330
VA

Other

Enumeration date
08/14/2014
Last updated
09/08/2020
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