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Individual

HENRY FAIRFAX LYNN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., ED.S.

Contact information

Practice address
36 RUSH NO MORE LN, BERKELEY SPRINGS, WV 25411-6980
(304) 279-8787
Mailing address
36 RUSH NO MORE LN, BERKELEY SPRINGS, WV 25411-6980
(304) 279-8787

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
20024
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0163812000
WV
Enumeration date
09/07/2007
Last updated
09/07/2007
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