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Individual

CAROLE CRUSE-OLIVIERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-0600056
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0813000532
VA BOARD OF PSYCHOLOGY
VA
01
PPS-0600056
COMMONWEALTH OF VA PUPIL PERSONNEL SERVICES LICENSE
VA
Enumeration date
03/02/2018
Last updated
03/02/2018
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