Individual
BAILEY VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 DOUGLAS AVE NW, ROANOKE, VA 24012-4611
(540) 853-6316
Mailing address
40 DOUGLAS AVE NW, ROANOKE, VA 24012-4611
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-0608841
VA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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