Individual
ANDREA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 E SHIRLEY AVE, WARRENTON, VA 20186-3725
(540) 422-7154
Mailing address
430 E SHIRLEY AVE, WARRENTON, VA 20186-3725
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000900
VA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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