Individual
MS. LORI EILEEN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7207 YOUNG ST, MACHIPONGO, VA 23405-1725
(757) 678-5151
Mailing address
7207 YOUNG ST, MACHIPONGO, VA 23405-1725
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000876
VA
103TS0200X
School Psychologist
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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