Individual
KEMORA ASHLEIGH DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8230 LEESBURG PIKE STE 740, VIENNA, VA 22182-2641
(877) 504-4141
(877) 504-4141
Mailing address
702 CLARK CT NE APT 203, LEESBURG, VA 20176-4704
(917) 938-5950
(917) 938-5950
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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