Individual
MISS CATIE ELIZABETH GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
(434) 200-5242
Mailing address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
VA
Enumeration date
11/29/2018
Last updated
11/29/2018
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