Individual
SHANNON DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.S.P. NCSP
Contact information
Practice address
735 W MAIN ST, LURAY, VA 22835-1030
(540) 743-6533
Mailing address
735 W MAIN ST, LURAY, VA 22835-1030
(540) 743-6533
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-0605814
VA
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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