Individual
CAROL POPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10686 CRESTWOOD DR STE B, MANASSAS, VA 20109-4407
(703) 392-6166
(703) 392-6166
Mailing address
2550 N MAIN ST, CENTRAL LAKE, MI 49622-9286
(703) 479-6101
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
OP-10-2017
VA
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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