Individual
MARY KESECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 CHESTNUT ST, LEWISBURG, WV 24901-1108
(304) 647-6483
Mailing address
525 E MARKET ST, HARRISONBURG, VA 22801-4227
(540) 433-8830
(540) 433-8830
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
22051
WV
Other
Enumeration date
02/02/2008
Last updated
02/02/2008
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