Individual
LAUREN LEE ETTA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2612 BUFORD RD STE B, NORTH CHESTERFIELD, VA 23235-3422
(804) 806-5044
Mailing address
1409 PORTER ST, RICHMOND, VA 23224-2065
(703) 717-2602
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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