Individual
MRS. KERRI BETH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.ED; M.ED
Contact information
Practice address
49 FOX GROVE DR, HAMPTON, VA 23664-1740
(814) 442-8812
Mailing address
49 FOX GROVE DR, HAMPTON, VA 23664-1740
(814) 442-8812
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
VA
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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