Individual
MRS. JESSICA MARIE SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
767 MADISON RD STE 110, CULPEPER, VA 22701-3340
(540) 738-7720
(540) 779-0728
Mailing address
28 SHORT TURN CT, FRONT ROYAL, VA 22630-5569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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