Individual
CAROL SPELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5705 LYNNHAVEN PKWY, VIRGINIA BEACH, VA 23464-9152
(757) 797-4839
Mailing address
406 BROADWATER DR, CHESAPEAKE, VA 23323-1713
(757) 535-7426
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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