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Individual

MARY ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1625 IVY ST, WAYNESBORO, VA 22980-2505
(540) 946-4636
Mailing address
1625 IVY ST, WAYNESBORO, VA 22980-2505
(540) 946-4636

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
PGP-645571
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
236
VA
Enumeration date
03/07/2024
Last updated
03/07/2024
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