Individual
JESSICA LYNETTE CREASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
(434) 200-5750
Mailing address
119 CRESTHAVEN TER, EVINGTON, VA 24550-9538
(434) 941-0557
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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