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Individual

SARA FARWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ED.S.

Contact information

Practice address
2213 ROUND HILL DR, VIRGINIA BEACH, VA 23464-8855
(757) 648-2538
Mailing address
451 CARRIAGE RD., VIRGINIA BEACH, VA 23452

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
081300157
BOARD OF PSYCHOLOGY DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
03/14/2022
Last updated
03/14/2022
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