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Individual

KATELYN MARIE LAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
544 NEWTOWN RD UNIT 110, VIRGINIA BEACH, VA 23462-5603
(224) 206-5001
Mailing address
610 N BRISTON CT, NORFOLK, VA 23505-1394
(760) 608-9123

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-306868
VA

Other

Enumeration date
11/06/2023
Last updated
11/06/2023
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